Double Balloon Angioplasty in a Patient with Right Coronary Artery Ectasia

Year 2015, , 19 - 21, 28.04.2015

Ahmet Kaya , İbrahim Tanboğa , Mustafa Kurt Zeki Günaydın , Osman Bektaş

https://doi.org/10.19127/mbsjohs.16998

Abstract

Coronary artery ectasia (CAE) is an abnormality of the coronary anatomy and might be a variant of the Coronary Artery Disease (CAD). The CAE can cause angina pectoris and even MI with vasospasm, dissection, or thrombus in patients without CAD. Isolated CAE is defined as CAE without significant coronary artery stenosis. The mechanisms responsible for ectasia formation are not clearly known. However, the histopathological changes in CAE are shown to be similar to the changes that are observed in atherosclerotic lesions and they include intimal–medial degeneration and hyalinization. There is no current guideline for percutaneous coronary angioplasty in stenotic ectatic coronary arteries due to variations in coronary anatomy. We report successful simultaneous double balloon angioplasty in a patient who had coronary artery ectasia.

Keywords

double balloon angioplasty, coronary artery ectasia, coronar intervention

References

• Baron SB, Nielson C. Double balloon angioplasty for unstentable large-caliber right coronary stenosis. J Invasive Cardiol. 2008; 20: 52-3.
• Hartnell GG, Parnell BM, Pridie RB. Coronary artery ectasia. Its prevalence and clinical significance in 4993 patients. Br Heart J. 1985; 54:392–395.
• Isık T, Kurt M, Ayhan E, et al. Relation of Red Cell Distribution Width with Presence and Severity of Coronary Artery Ectasia. Clinical and Applied Thrombosis/Hemostasis. 2012; 18: 441-447.
• Rha SW,Wani SP,Oh DJ..Parallel stenting using two sirolimus-eluting stents in an ectatic coronary artery stenosis.BMJ Case Rep. 2009; DOI:10.1136 / bcr.2006.099739. 21