SUCCESSFUL STENTING OF ECTATIC CORONARY ARTERY WITH TWO DRUG ELUTING STENTS IN A PATIENT WITH ACUTE CORONARY SYNDROME

Abstract

Coronary artery ectasia is characterized by enlargement of the coronary artery 1.5 times or more than the normal artery. It can be found in 3-8% of persons undergoing coronary angiography and 1-2% of autopsy cases¹.  Coronary artery ectasia patients could be asymptomatic but some patients may present with exertional chest pain, acute coronary syndrome or sudden cardiac death². Currently there is no clear cut guideline to treat stenotic coronary artery ectasia because of various sizes and types of coronary artery ectasia. Herein we report a 66 year old female presented with persistent chest pain, ECG showing ST coving and deep T wave inversions in V1-V6. Coronary angiography showed ectactic proximal segment followed by tight stenosis of mid segment of left anterior descending coronary artery. She was successfully treated with balloon angioplasty with 2 drug eluting stents with good results.

Key words: Ectatic coronary artery, acute coronary syndrome, Balloon angioplasty