Coronary Artery Ectasia

Lin, Chih-Ta; Chen, Chih‐Wei; Lin, Tin‐Kwang; Lin, Chin-Lon

doi:10.1016/s1016-3190(08)60049-x

Cited by 24 publications

(26 citation statements)

References 45 publications

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“…In a study of 10,057 patients, the prevalence of CAE was 1.5% [4]. Compared to the normal individuals, the patients with CAE are older, more frequently male (4 times more common in males than in females), and have higher rates of myocardial infarction (MI) [1,5,6]. Coronary artery ectasia is commonly found in patients with atherosclerosis and coronary artery disease, but the condition can occur by itself without an identifiable cause and in both cases it can cause medical and health problems.…”

Section: Discussionmentioning

confidence: 99%

“…Coronary artery ectasia (CAE), defined as local or generalized aneurysmal dilatation of the coronary arteries to 1.5 times or more of the normal diameter of a coronary vessel, is a rare disease occurring in 0.3-4.9% of people in North America [1]. The condition is commonly asymptomatic and is normally discovered when performing tests for other conditions such as coronary artery disease, stable angina and other acute coronary syndromes [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…It can also go unnoticed and not diagnosed for many years. When identified, CAE is most commonly seen in males, the elderly and people with high BMIs [1]. Amongst symptomatic patients, chest pain and dyspnea on exertion are the most common complaints leading to hospital admission.…”

Section: Introductionmentioning

confidence: 99%

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Severely ectatic left circumflex coronary artery presenting with an ST-elevation myocardial infarction: A case report

Al-Qaisi¹,

Nafisi²,

Nafisi³

2016

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comSeverely ectatic left circumflex coronary artery presenting with an ST-elevation myocardial infarction: A case report Saifuldeen Al-Qaisi, Shirin Nafisi, Sina Nafisi ABSTRACT Introduction: Coronary artery ectasia (CAE) is a very rare condition with unclear etiology, clinical significance, and proper management strategies. Case Report: A 54-year-old male who had an ST-elevation myocardial infarction (STEMI) as an initial presentation of a significantly ectatic left circumflex coronary artery (LCX) with a diameter of 8mm. The patient presented to the hospital with chest pain. Upon further evaluations, he was deemed to be having an STEMI noted in the lateral EKG leads in addition to elevated troponin I level. The patient underwent left heart catheterization which revealed an ectatic LCX with a diameter close to 8 mm, with an acute thrombus and occlusion of the distal LCX and severe atherosclerosis. Percutaneous coronary intervention was done to re-establish flow to the obtuse marginal artery (OM). Subsequently, patient underwent coronary artery bypass grafting two days later. He was discharged home three days after surgery in stable condition on aspirin and clopidogrel. Conclusion: This case is unique as it describes a significantly aneurysmal LCX which is very wide in diameter complicated with an intraluminal thrombus without a prior warning in this patient, all managed successfully. Literature provides limited information regarding optimal management of similar conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Severely ectatic left circumflex coronary artery presenting with an ST-elevation myocardial infarction: A case report

Al-Qaisi¹,

Nafisi²,

Nafisi³

2016

IJCRI

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“…Also, England (1981) reported that prolonged exposure to herbicides such as 2,4-D has been associated with Coronary Artery Ectasia (CAE). It was reported that more than 50% of CAE were caused by atherosclerosis (Lin et al 2008). Recently, Schreinemachers (2010) indicate that human exposure to 2,4-D was associated with changes in biomarkers that, have been linked to risk factors related to the pathogenesis of acute myocardial infarction and type-2 diabetes, such as dyslipidemia and impaired glucose metabolism.…”

Section: The 24-d Exposure and Human Diseasesmentioning

confidence: 99%

Oxidative Stress Induced by the 2,4-Dichlorophenoxyacetic Herbicide

Tayeb¹,

Nakbi²,

Chaieb³

et al. 2012

Oxidative Stress - Environmental Induction and Dietary Antioxidants

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“…Some studies showed increased cardiovascular events such as unstable angina, MI, heart failure (HF), sudden cardiac death (SCD), and angina in 'CAE only' patients. These studies have also reported poor prognosis for 'CAE only' in patients with CAS and 3 vessels disease (15)(16)(17). Furthermore, the coexistence of CAE with coronary artery stenosis augments cardiovascular events (16).…”

Section: Introductionmentioning

confidence: 97%