Large Coronary Arteries Mean No Chance of a Heart Attack, Right? An Acute Myocardial Infarction in the Setting of Holding Anticoagulation for a Routine Colonoscopy

Coronary artery ectasia (CAE) is an uncommon pathology, which is sometimes incidentally found on left heart catheterization (LHC). CAE is occasionally treated with systemic anticoagulation to prevent thrombosis or progression of the clot in the coronary arteries. We present a 63-year-old male with k...

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Autores principales: Brewster, Nathan, Nesfeder, Jennifer, Murphy, Ryan, Holahan, Brian, Sabzwari, Syed Rafay Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6592468/
https://www.ncbi.nlm.nih.gov/pubmed/31263651
http://dx.doi.org/10.7759/cureus.4544
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author Brewster, Nathan
Nesfeder, Jennifer
Murphy, Ryan
Holahan, Brian
Sabzwari, Syed Rafay Ali
author_facet Brewster, Nathan
Nesfeder, Jennifer
Murphy, Ryan
Holahan, Brian
Sabzwari, Syed Rafay Ali
author_sort Brewster, Nathan
collection PubMed
description Coronary artery ectasia (CAE) is an uncommon pathology, which is sometimes incidentally found on left heart catheterization (LHC). CAE is occasionally treated with systemic anticoagulation to prevent thrombosis or progression of the clot in the coronary arteries. We present a 63-year-old male with known CAE on warfarin who presented to the hospital with myocardial infarction after a routine colonoscopy for which anticoagulation was held. His myocardial infarction was attributed to a likely coronary thromboembolic event. This case highlights the need for consideration of bridging anticoagulation therapy before and after procedures in patients with CAE to prevent adverse coronary events.
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spelling pubmed-65924682019-07-01 Large Coronary Arteries Mean No Chance of a Heart Attack, Right? An Acute Myocardial Infarction in the Setting of Holding Anticoagulation for a Routine Colonoscopy Brewster, Nathan Nesfeder, Jennifer Murphy, Ryan Holahan, Brian Sabzwari, Syed Rafay Ali Cureus Cardiology Coronary artery ectasia (CAE) is an uncommon pathology, which is sometimes incidentally found on left heart catheterization (LHC). CAE is occasionally treated with systemic anticoagulation to prevent thrombosis or progression of the clot in the coronary arteries. We present a 63-year-old male with known CAE on warfarin who presented to the hospital with myocardial infarction after a routine colonoscopy for which anticoagulation was held. His myocardial infarction was attributed to a likely coronary thromboembolic event. This case highlights the need for consideration of bridging anticoagulation therapy before and after procedures in patients with CAE to prevent adverse coronary events. Cureus 2019-04-25 /pmc/articles/PMC6592468/ /pubmed/31263651 http://dx.doi.org/10.7759/cureus.4544 Text en Copyright © 2019, Brewster et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Brewster, Nathan
Nesfeder, Jennifer
Murphy, Ryan
Holahan, Brian
Sabzwari, Syed Rafay Ali
Large Coronary Arteries Mean No Chance of a Heart Attack, Right? An Acute Myocardial Infarction in the Setting of Holding Anticoagulation for a Routine Colonoscopy
title Large Coronary Arteries Mean No Chance of a Heart Attack, Right? An Acute Myocardial Infarction in the Setting of Holding Anticoagulation for a Routine Colonoscopy
title_full Large Coronary Arteries Mean No Chance of a Heart Attack, Right? An Acute Myocardial Infarction in the Setting of Holding Anticoagulation for a Routine Colonoscopy
title_fullStr Large Coronary Arteries Mean No Chance of a Heart Attack, Right? An Acute Myocardial Infarction in the Setting of Holding Anticoagulation for a Routine Colonoscopy
title_full_unstemmed Large Coronary Arteries Mean No Chance of a Heart Attack, Right? An Acute Myocardial Infarction in the Setting of Holding Anticoagulation for a Routine Colonoscopy
title_short Large Coronary Arteries Mean No Chance of a Heart Attack, Right? An Acute Myocardial Infarction in the Setting of Holding Anticoagulation for a Routine Colonoscopy
title_sort large coronary arteries mean no chance of a heart attack, right? an acute myocardial infarction in the setting of holding anticoagulation for a routine colonoscopy
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6592468/
https://www.ncbi.nlm.nih.gov/pubmed/31263651
http://dx.doi.org/10.7759/cureus.4544
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