Coronary Artery Aneurysm: Evaluation, Prognosis, and Proposed Treatment Strategies
| Autor: | Ahmed Hailan, Azeem S Sheikh, David Smith, Anirban Choudhury, Tim Kinnaird |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty medicine.medical_treatment Review Article 030204 cardiovascular system & hematology Coronary artery disease 03 medical and health sciences 0302 clinical medicine Internal medicine medicine drug-eluting stent cardiovascular diseases Coronary artery aneurysm Kawasaki disease business.industry Gold standard percutaneous coronary intervention Percutaneous coronary intervention 030229 sport sciences medicine.disease Atherosclerosis Natural history medicine.anatomical_structure lcsh:RC666-701 Drug-eluting stent Cardiology coronary angiography business coronary artery disease Artery |
| Zdroj: | Heart Views : The Official Journal of the Gulf Heart Association Heart Views, Vol 20, Iss 3, Pp 101-108 (2019) |
| ISSN: | 0976-5123 1995-705X |
| Popis: | Coronary artery aneurysm is a rare disorder, which occurs in 0.3%–4.9% of patients undergoing coronary angiography. Atherosclerosis accounts for >90% of coronary artery aneurysms in adults, whereas Kawasaki disease is responsible for most cases in children. Recently, with the advent of implantation of drug-eluting stents, there are increasing reports suggesting stents causing coronary aneurysms, months or years after the procedure. The pathophysiology of coronary artery aneurysm is not completely understood but is thought to be similar to that for aneurysms of larger vessels, with the destruction of arterial media, thinning of the arterial wall, increased wall stress, and progressive dilatation of the coronary artery segment. Coronary angiography remains the gold standard tool, providing information about the size, shape, and location and is also useful for planning the strategy of surgical resection. The natural history and prognosis remain unclear. Despite the important anatomical abnormality of the coronary artery, the treatment options of coronary artery aneuryms are still poorly defined and present a therapeutic challenge. We describe four cases, which were managed differently followed by a review of the current literature and propose some treatment strategies. |
| Databáze: | OpenAIRE |
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