Cardiac Arrest in the Setting of Diffuse Coronary Ectasia: Perspectives on a Unique Ischemic Insult

Rahul S Loungani; Sitharthan Sekar; Michael R Rehorn; Eric Black-Maier; Sreekanth Vemulapalli; Svati H Shah; Robert W Harrison

doi:10.1016/j.jaccas.2020.06.025

Cardiac Arrest in the Setting of Diffuse Coronary Ectasia: Perspectives on a Unique Ischemic Insult

JACC Case Rep. 2020 Sep 15;2(11):1662-1666. doi: 10.1016/j.jaccas.2020.06.025. eCollection 2020 Sep.

Authors

Rahul S Loungani¹, Sitharthan Sekar², Michael R Rehorn¹, Eric Black-Maier¹, Sreekanth Vemulapalli¹, Svati H Shah¹, Robert W Harrison¹

Affiliations

¹ Division of Cardiology, Duke University School of Medicine, Durham, North Carolina.
² Department of Medicine, Duke University School of Medicine, Durham, North Carolina.

Abstract

A 69-year-old man with a history of coronary artery ectasia, potentially resulting from an underlying heritable connective tissue disorder, presented with ventricular fibrillation. Despite medical management of ischemia, he developed recurrent ventricular tachycardia with poor neurological recovery. We highlight challenges in the management of coronary artery ectasia. (Level of Difficulty: Beginner.).

Keywords: CAE, coronary artery ectasia; INR, international normalized ratio; MFS, Marfan syndrome; NSTEMI, non–ST-segment elevation myocardial infarction; TGFβ, transforming growth factor-beta (gene); VF, ventricular fibrillation; VT, ventricular tachycardia; cTnT, cardiac troponin T; cardiac arrest; connective tissue disease; coronary ectasias; coronary thrombosis.

Publication types

Case Reports