Elyounoussi Najlae, Ghita Bennis, Malak Alaoui Yazidi, Ilham Bensahi, FZ Marzouk
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 2
Issue: 3
Date of Publication: 2025/03/01
Megadolichocoronary arteries are defined by the increase in length and caliber of one or more coronary arteries. They are relatively rare and are most often discovered during routine coronary angiography in patients admitted for management of acute coronary syndrome or stable angina. The main etiology is atheroma in adults.
These abnormalities expose to an increased risk of intra coronary thrombosis due to blood stasis, the association with stenosing lesions seems to be the preponderant prognostic factor. We report the case of a 47-year-old patient, with recent diabetes discovered 10 days before his admission and overweight as cardiovascular risk factors, hospitalized in emergency for the management of an acute ST-positive coronary syndrome with aspect of megadolichocoronary at coronary angiography, put under medical treatment alone with anticoagulant and a double anti-platelet aggregation with favorable evolution.
In the light of this case and a review of the literature, we discuss the particularities of this type of lesion and the possible therapeutic options.
megadolichocoronary, Coronary ectasia, thrombosis, coronary angioplasty
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