Embolic myocardial infarction due to coronary artery aneurysm in a patient with Loeys-Dietz syndrome

EuroIntervention 2016;12:61. DOI: 10.4244/EIJV12I1A11

Alberto Cereda
Alberto Cereda1*, MD; Andrea Garascia1, MD; Paola Sormani1, MD; Silvio Klugmann1, MD; Diana Artioli2, MD; Francesco Soriano1, MD; Jacopo Andrea Oreglia3, MD
1. Cardiovascular Department, Niguarda Hospital, Milan, Italy; 2. Radiology Department, Niguarda Hospital, Milan, Italy; 3. Interventional Cardiology Unit, Luigi Sacco Hospital, Milan, Italy

A 54-year-old male patient was admitted for non-ST-elevation acute coronary syndrome (NSTE-ACS). His medical history revealed previous normal coronary angiography, David’s valve-sparing surgery performed one year ago, and a diagnosis of a TGFBR2-associated Loeys-Dietz syndrome. Emergency catheterisation showed evidence of a normal ascending aorta with an ostial aneurysm of 15 mm of the re-implanted LCA, a saccular pouching of the middle LAD and a non-occlusive luminal thrombus of the apical segment of the LAD with a TIMI grade 3 flow (Panel A, Panel B). IVUS showed diffused intimal thickness of the LAD with a vessel dilatation of 7×10 mm ...

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