Acute Coronary Syndrome in a Puerperal Patient with Coronary Artery Ectasia due to a Coronary Artery Fistula

作者：Okada Taiji^*; Endo Akihiro; Ito Simpei; Nakamura Taku; Sugamori Takashi; Takahashi Nubuyuki; Yoshitomi Hiroyuki; Tanabe Kazuaki

来源：Internal Medicine, 2016, 55(18): 2635-2638.

DOI：10.2169/internalmedicine.55.6597

• acute coronary syndrome
• coronary artery ectasia
• coronary artery fistula
• puerperal period
• young woman

Coronary artery fistulas are rare and the feeding artery is ectatic and tortuous. It is not well-known whether coronary artery ectasia (CAE) is a risk factor of acute coronary syndrome (ACS) in the puerperal periods. A 40-year-old woman with a coronary artery fistula and an ectatic right coronary artery (RCA) had delivered twins. A month later, she had chest pain and coronary angiography revealed thrombogenesis in the RCA. She had no risk factors of cardiovascular disease or thrombogenesis. We should recognize that CAE is a risk factor for ACS in women in the perinatal and puerperal periods.

• 出版日期2016