Open AccessCoronary artery aneurysm: A review
Author(s) -
Pahlavan Payam S.,
Niroomand Feraydoon
Publication year - 2006
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960291005
Subject(s) - medicine , kawasaki disease , coronary artery ectasia , ectasia , cardiology , aneurysm , coronary artery aneurysm , antithrombotic , pathogenesis , coronary artery disease , artery , angiography , coronary angiography , radiology , myocardial infarction
Coronary artery ectasia (CAE) is found in 0.3–5% of patients undergoing coronary angiography. Atherosclerosis is the main cause, followed by Kawasaki disease and infectious emboli. The exact pathogenesis has not been diagnosed as yet, but an inflammatory process is underlying. Symptoms, if present, are usually related to myocardial ischemia. Angiography is the mainstay for diagnosis. The prognosis is generally favorable. Thromboembolic complications are rare with antiplatelet therapy, and spontaneous rupture generally is rare but occurs more commonly in Kawasaki disease. Management varies from antithrombotic therapy to surgical ligation. Controlling coronary heart disease risk factors sharply affects the prognosis in patients with CAE.