Acute Coronary Syndrome Revealing An Ectatic Coronary Network: The Challenges of Management (Case Report)

Coronary ectasia is relatively a rare pathological entity, whose pathophysiological mechanisms and management principles are still poorly understood. Atherosclerosis is the predominant etiology with other causes that can be incriminated at lower percentages. These abnormalities expose to a major risk of intracoronary thrombosis by blood stasis, especially since they are most often associated with stenotic lesions conditioning the prognosis of patients. We report the case of a patient admitted to the emergency room for the management of an acute coronary syndrome without ST segment elevation with on coronary angiography an aspect of diffuse coronary ectasia affecting the 3 main coronary arteries, and we discuss a review of the literature concerning this type of condition and  specifics of management.