Open AccessCoronary artery ectasia: a rare cause of acute coronary syndrome
Author(s) -
Suraj Kumar Kulkarni,
Shivakumar Bhairappa,
Abdul Mujeer,
Prakash Sadashivappa Surhonne
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-225654
Subject(s) - coronary artery ectasia , medicine , ectasia , thrombus , cardiology , acute coronary syndrome , stenosis , artery , lumen (anatomy) , angina , radiology , coronary angiography , myocardial infarction
Coronary artery ectasia (CAE) is defined as a localised or diffuse dilatation of coronary artery lumen more than 1.5 times that of an adjacent normal segment. CAE may present with or without functionally significant stenosis. Such patients may manifest with stable angina or with acute coronary syndrome. Ectasia may serve as a nidus for thrombus formation with likelihood of distal embolisation or it may lead to dissection or spasm. This condition presents a challenge for an interventionist. Should we intervene or manage it medically. We describe a case of CAE where all the vessels were diffusely ectatic with variable degree of stenosis. In brief we discuss the causes and management issues in ectasia.