CORONARY ARTERY ANGIECTASIA: A CLINICAL CASE

Coronary artery ectasia is a rare disease affecting 3–8 % of patients with atherosclerotic coronary artery disease and characterized by its abnormal dilation. Although the etiology of coronary artery ectasia encompasses many acquired and genetic factors, its pathogenesis remains a subject of study. Clinical manifestations are diverse, ranging from asymptomatic cases to chronic or acute coronary syndromes. Coronary angiography remains the gold standard for the diagnosis of coronary artery ectasia. This clinical case indicates the development of acute myocardial infarction against the background of coronary artery ectasia and late (on the 8th day of infarction development) medical attention. Thrombolytic therapy was not performed because the patient categorically refused invasive intervention for coronary artery ectasia. This article also highlights recent advances in diagnosis, identification of the variety of clinical manifestations, and the complexities of patient management, as there are no universal treatments or recommendations.