Coronary artery ectasia, an enigma in cardiology: A case report with review of literature

Autor: Tony Ete, Gaurav Kavi, Animesh Mishra, Pravin Kumar Jha, Amit Malviya, Rinchin Dorjee Megeji
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Heart India, Vol 4, Iss 4, Pp 149-152 (2016)
Druh dokumentu: article
ISSN: 2321-449X
2321-449x
DOI: 10.4103/2321-449x.196286
Popis: Coronary artery ectasia (CAE) is the diffuse affection of artery which is defined as a dilation 1.5 fold the diameter of the normal adjacent segments of the same artery. Usually, it affects male, and the cause is multifactorial. It is considered as a variant of atherosclerosis. CAE is associated with connective tissue diseases such as Takayasu arteritis and polyarteritis nodosa. It may be primary or secondary to the presence of other diseases. Hence, the presence of CAE supports search to look for the presence of aneurysms involving other major vessels. Involvement of artery in CAE may be focal or diffuse. Prevalence of CAE varies between 0.3% and 5.3% in different studies. Clinically, it may present with features of angina and myocardial infarction. Coronary angiography is the mainstay of diagnosing CAE. Other measures to diagnose are computerized tomography coronary angiography and magnetic resonance angiography. CAE can be managed both medically through anticoagulants, antiplatelet therapy, and invasive interventional procedures such as percutaneous transluminal coronary angioplasty and coronary artery bypass grafting, if indicated.
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