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Coronary artery ectasy is a rare coronary disease often revealed by an acute myocardial infarction.The management of this pathology is not well established.We are reporting two cases of ST-elevation myocardial infarction associated with coronary artery ectasy.These cases were reported using electrocardiography and coronary angiography data and the modalities of treatment.Then a discussion was made on the basis of the literature concerning the topic of coronary artey ectasy and myocardial infarction.Our work adds to the literature by providing additional data on the link between artery coronary ectasy and acute myocardial infarction as well as the management modalities.

Introduction and aims: Post-myocardial infarction ventricular septal defect is a rare dreadful complication of myocardial infarction. It usually occurs between the 3rd and 7th day of the infarction. Several risk factors for its occurrence have been identified. The aim of our work is to discuss these different risk factors through clinical cases with a literature review. Material and methods: This is a retrospective study conducted from 2015 to 2021 including 18 consecutive patients with post-myocardial ventricular septal defect presented in either cardiac intensive care unit or cardiac surgery department of Mohammed V Military Teaching Hospital Rabat. All patients had at least a clinical examination, an electrocardiogram, and an echocardiogram showing ventricular septal defect. Surgery was performed at cardiac surgery department. Results: Mean age was 65.2± 26.4 years. There were more men than women in our study (17 males/1 female). Diabetes (55.6%) and smoking (55.6%) were the two predominant cardiovascular risk factors. The average body mass index was 23.7 ± 2.98 kg/m². Anteroseptal was the most observed infarct location (38.9%.) 16 patients presented after 12 hours of pain onset. 2 of them underwent percutaneous intervention and 1 underwent coronary artery bypass graft intervention whereas 15 didn't undergo any revascularisation strategy. The culprit artery was left anterior descending artery in 13 patients. The death rate was 55.6%, 50% before surgery and 50% after surgery. Conclusion: Delayed or absence of coronary reperfusion remains the main risk factor for post-myocardial infarction ventricular septal defect occurrence which explains its frequency decline since reperfusion strategies development.

Background: The combination of coronary and carotid artery disease is not rare since both entities share the same risk factors. However, when surgery is indicated for both pathologies, the question that remains is whether to opt for a simultaneous or staged surgery. Case Report: We report the case of a 73-year-old male, with a history of uncontrolled hypertension, dyslipidemia, diabetes and heavy smoking, admitted with an acute chest pain. Physical examination revealed bilateral carotid bruits especially at the right side. Electrocardiogram showed an ST depression in the anterior, lateral, inferior and posterior leads. Troponin was high. Trans-Thoracic Echocardiography showed an ischemic cardiopathy with preserved ejection fraction. Coronary angiography showed a triple-vessel disease requiring surgery. CT angiography of the neck showed a right carotid artery stenosis of 90 % also requiring surgery. He underwent a simultanous intervention with good outcomes. Conclusion: There are many debates about the choice of a simultaneous or staged surgery T the indications are still unclear. Multicentric studies must be carried out.