Journal of Surgery
Volume 2, Issue 6, December 2014, Pages: 98-100
Received: Dec. 2, 2014;
Accepted: Dec. 12, 2014;
Published: Dec. 19, 2014
Views 2438 Downloads 135
Suleyman Surer, Deparment of Cardiovascularsurgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey
Senol Yavuz, Deparment of Cardiovascularsurgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey
Faruk Toktaş, Deparment of Cardiovascularsurgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey
Coronary artery ectasia (CAE) is detected in approximately 1-5% of all coronary angiography procedures. Coronary artery dilatation is only rarely diagnosed or cannot be recognized generally. There is no consensus regarding the definition of this rare anomaly. A 75-year old female who is a hypertansive and hyperlipidemia with a history of chronic stable angina despite full medical therapy. She was admitted on intensive care unit this time because of a typical chest pain that did not alleviate with sublingual nitroglycerin. Coronary angiography revealed mainly of the diffuse ectasia of three coronary artery and rheumatic heart valve disease. She underwent aortic and mitral replacement and a three-vessel bypass. Her postoperative course was well and she was discharged on the postoperative day 7 th. The patient is doing well on follow-up with no recurrence of symptoms.
Tip I Coronary Artery Ectasia in a Patient with Rheumatic Heartvalve Disease, Journal of Surgery.
Vol. 2, No. 6,
2014, pp. 98-100.
Singh SK, Goyal T, Sethi R, Chandra S, Devenraj V, Rajput NK et al. Surgical treatment for coronary artery aneurysm: a single-centre experience. Interactive CardioVascular and Thoracic Surgery 2013; 17(4):632–7.
Díaz-Zamudio M, Bacilio-Pérez U, Herrera-Zarza MC, Meave-González A, Alexanderson-Rosas E, Zambrana-Balta GF et al.Coronary artery aneurysms and ectasia: role of coronary CT angiography. Radiographics 2009; 29(7):1939– 1954.
Yavuz S, ErisC , Surer S Toktas F.eComment:Coronary artery dilatation: Ectasia or aneurysm.Interactive CardioVascular and Thoracic Surgery2013;17(4):636.
Markis JE, Joffe CD, Cohn PF, Feen DJ, Herman MV, Gorlin R. Clinical signiﬁ-cance of coronary arterial ectasia. Am J Cardiology1976; 37(2):217–222.
Bajaj S, Parikh R, Hamdan A, Bikkina M.Covered-stent treatment of coronary aneurysm after drug-eluting stent placement: case report and literature review. Texas Heart Institute Journal2010; 37(4): 449-454.
Li D, Wu Q, Sun L, Song Y, Wang W, Pan S et al. Surgical treatment of giant coronary artery aneurysm. Journal of Thoracic and Cardiovascular Surgery2005; 130(3):817–821.
Y Gunes, B Boztosun, A Yildiz, A Metin Esen, M Saglam, M Bulut et al . Clinical profile and outcome of coronary artery ectasia.Heart2006; 92(8):1159-1160.
Bluemke DA, Achenbach S, Budoff M, Thomas C, Gerber TC, Gersh B et al. Noninvasive coronary artery imaging: magnetic resonance angiography and multidetector computed tomography angiography: a scientific statement from the American heart association committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young. Circulation2008; 118(5):586-606.
Mavrogeni SI, Manginas A, Papadakis E, Foussas S Douskou E, Vieskelis P. Correlation between magnetic resonance angiography (MRA) and quantitative coronary angiography (QCA) in ectatic coronary vessels. Journal of Cardiovascular Magnetic Resonance2004;6(1):17-23.
Tiryakioglu O, Basel MC, Tiryakioglu SK, Turk T, Yavuz S. An emergency surgical repair for ruptured giant right coronary artery aneurysm. Turkish Journal of Thoracic and Cardiovascular Surgery2008; 16(2):120–121.
Harandi S, Johnston SB, Wood RE, Roberts WC. Operative therapy of coronary arterial aneurysm. American Journal of Cardiology1999; 83(3):1290–3.
Meraj PM, Makaryus AN, Boxt LM. An unusual combination of myocardial bridging and coronary artery aneurysm identified on 64-detector coronary angiography. International Journal of Cardiovascular Imaging2007; 23(5):649-653I.