Coronary artery ectasia: A case report

Yıl 2020, Cilt: 3 Sayı: 1, 42 - 46, 30.04.2020

Özge Turgay Yıldırım , Mehmet Özgeyik

Öz

Coronary artery ectasia (CAE) is defined as the local or diffuse dilatation of the coronary arteries. The ectatic segment should expand at least 1.5 times compared to the adjacent normal coronary artery segment. In this case, we presented a case of CAE measuring 6.8mm at its widest point with two coronary arteries involved. In this case, we considered CAE secondary to atherosclerosis. Although there are no definitive suggestions in CAE treatment, in appropriate cases, interventional treatment and medical treatment are recommended. According to the angiography result, we made a medical treatment decision. The treatment decision should be made according to the etiology of CAE and the properties of the patient and angiography results

Anahtar Kelimeler

coronary artery ectasia, atherosclerosis

Koroner arter ektazisi: Olgu sunumu

Öz

Koroner arter ektazi (KAE), koroner arterlerin lokal veya yaygın dilatasyonu olarak tanımlanır. Ektatik segment, komşu normal koroner arter segmentine kıyasla en az 1.5 kat genişlemelidir. Biz bu vakamızda 2 damarda ve en geniş yerinde 6,8mm ölçülen CAE vakası sunduk. Bu vakada ateroskleroza sekonder KAE olduğunu düşündük. KAE tedavisinde kesin bir öneri olmamasına rağmen, uygun durumlarda girişimsel tedavi ve tıbbi tedavi önerilmektedir. Anjiyografi sonucuna göre medikal tedavi kararı aldık. Tedavi kararı KAE etiyolojisine, hastanın özelliklerine ve anjiyografi sonuçlarına göre verilmelidir.

Anahtar Kelimeler

koroner arter hastalığı, ateroskleroz

Kaynakça

• 1. Hartnell GG, Parnell BM, Pridie RB. Coronary artery ectasia: Its prevalance and clinical significance in 4993 patients. Br Heart J 1985;54:392-395
• 2. Sharma SN, Kaul U, Sharma S, et. al. Coronary arteriographic profile in young and old Indian patients with ischaemic heart disease: a comparative study. Indian Heart J 1990;42:365-369.
• 3. Rath S, Har-Zahav Y, Battler A, et al. Rate of nonobstructive aneurysmatic coronary artery disease; angiographic and clinical follow up report. Am Heart J 1985;109:785-791.
• 4. Devabhaktuni S, Mercedes A, Diep J, et al. Coronary Artery Ectasia-A Review of Current Literature. Curr Cardiol Rev. 2016;12(4):318–323.
• 5. Turkmen M, Bitigen A, Esen AM. Koroner Arter Ektazileri, Turkiye Klinikleri J Med Sci. 2006; 26(1): 68-72
• 6. Uyarel H, Okmen E, Tartan Z, et al. The role of angiotensin converting enzyme genotype in coronary artery ectasia. Int Heart J. 2005; 46(1): 89-96.
• 7. Saglam M, Karakaya O, Barutcu I, et al. Identifying cardiovascular risk factors in a patient population with coronary artery ectasia. Angiology. 2008;58:698–703
• 8. Ekmekçi A, Ozcan KS, Abaci N, et al. The relationship between coronary artery ectasia and eNOS intron 4a/b gene polymorphisms. Acta Cardiol. 2013; 68(1): 19-22
• 9. Commeau P, Breut C, Grollier G. Ectasia of coronary arteries. Review of the literature. Apropos of 5 cases. Ann Cardiol Angeiol (Paris). 1985 Jul-Sep;34(7):499-503.
• 10. Markis JE, Joffe CD, Cohn PF, et al. Clinical significance of coronary arterial ectasia. Am J Cardiol. 1976;37:217–222
• 11. Sorrell VL, Davis MJ, Bove AA. Current knowledge and significance of coronary artery ectasia: a chronologic review of the literature, recommendations for treatment, possible etiologies, and future considerations. Clin Cardiol 1998; 21(3): 157-60
• 12. Gulec S, Aras O, Atmaca Y, et al. Deletion polymorphism of the angiotensin I converting enzyme gene is a potent risk factor for coronary artery ectasia. Heart 2003; 89(2): 213-4.
• 13. Pahlavan PS, Niroomand F. Coronary artery aneurysm: a review. Clin Cardiol 2006; 29(10): 439-43
• 14. Kruger D, Stierle U, Herrmann G, et al. Exercise- induced myocardial ischemia in isolated coronary artery ectasias and aneurysms (“dilated coronopathy”). J Am Coll Cardiol 1999; 34(5): 1461-70
• 15. Grigorov V. Invasive and anticoagulant treatment for coronary ectasia: a single operator’s experience in a tertiary hospital in South Africa. Cardiovasc J Afr. 2009;20:229–32.
• 16. Badmanaban B, Mallon P, Campbell N, et al. Repair of left coronary artery aneurysm, recurrent ascending aortic aneurysm, and mitral valve prolapse 19 years after Bentall’s procedure in a patient with Marfan syndrome. J Card Surg 2004; 19(1): 59-61.
• 17. Harandi S, Johnston SB, Wood RE, et al. Operative therapy of coronary arterial aneurysm. Am J Cardiol 1999; 83(8):1290-3