Title

Large Coronary Arteries Mean No Chance of a Heart Attack, Right? An Acute Myocardial Infarction in the Setting of Holding Anticoagulation for a Routine Colonoscopy

Publication/Presentation Date

4-2019

Abstract

Coronary artery ectasia (CAE) is an uncommon pathology, which is sometimes incidentally found on left heart catheterization (LHC). CAE is occasionally treated with systemic anticoagulation to prevent thrombosis or progression of the clot in the coronary arteries. We present a 63-year-old male with known CAE on warfarin who presented to the hospital with myocardial infarction after a routine colonoscopy for which anticoagulation was held. His myocardial infarction was attributed to a likely coronary thromboembolic event. This case highlights the need for consideration of bridging anticoagulation therapy before and after procedures in patients with CAE to prevent adverse coronary events.

Volume

11

Issue

4

First Page

e4544

Disciplines

Cardiology | Internal Medicine

Department(s)

Department of Medicine, Department of Medicine Fellows and Residents, Cardiology Division

Document Type

Article

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