Multiple aneurysms of the coronary arteries in a patient with systemic aneurysmal disease

LaMendola, Christopher L.; Culliford, Alfred T.; Harris, Loren J.; Amendo, Manuel T.

doi:10.1016/0003-4975(90)90892-a

Cited by 41 publications

(17 citation statements)

References 8 publications

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The presence of coronary artery aneurysm (CAA) is revealed in 1 -4% of coronary angiography [1] but the association with aortic abdominal aneurysm (AAA) is only anedoctical [2]. Atherosclerosis in 50%, and more rarely Marfan disease [3], and Kawasaki disease [4] are considered the main causes of coronary aneurysms, while atherosclerosis in 80% and inflammation in 3 -10% of cases constitute practically the main ethiologies of aortic abdominal aneurysms.

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mentioning

confidence: 99%

Unusual combination of coronary artery, abdominal aortic and iliac artery inflammatory aneurismal disease

Rigatelli¹,

Gemelli²,

Franco³

et al. 2004

International Journal of Cardiology

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…”

mentioning

confidence: 99%

Unusual combination of coronary artery, abdominal aortic and iliac artery inflammatory aneurismal disease

Rigatelli¹,

Gemelli²,

Franco³

et al. 2004

International Journal of Cardiology

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“…Evidence for the association between AAA and CAA in literature is anedoctical. 11 However, the authors recommend screening for CAA or AAA in affected patients because of the association between the two conditions. 12 In addition to the modalities for management, controversy persists as regards the timing and order of surgery.…”

Section: Discussionmentioning

confidence: 98%

A rare case of giant coronary artery aneurysm in the context of multiple arterial aneurysms

Solodkyy

Shalhoub

Chetty

et al. 2012

International Journal of Surgery Case Reports

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“…Congenital CAE as part of systemic arteriopathy CAE has been shown to be associated with similar aneurysm formation in other parts of the arterial tree including abdominal aorta and peripheral arteries, hence the suggestion that ectasia may represents a generalized deficit of the wall of the entire arterial system (13). The congenital type of CAE is associated with other anomalies like bicuspid aortic valve, aortic root dilatation and aneurysms (14), pulmonary stenosis and ventricular septal defect (20,15).…”

Section: Discussionmentioning

confidence: 99%

Coronary artery ectasia as a culprit for acute myocardial infarction: review of pathophysiology and management

Boles¹,

Rakhit²,

Shiu³

et al. 2013

Anadolu Kardiyol Derg

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Coronary artery ectasia (CAE) is defined as localized coronary dilatation, which exceeds the diameter of normal adjacent segments or the diameter of the patient's largest coronary vessel by 1.5 times. The pathophysiology of CAE remains unclear as its relationship with atherosclerosis remains only modestly established. The histological variances and conflicting reports of the role of traditional cardiovascular risk factors, also, weakens the significance of such association. The slow coronary flow (CSF) of CAE may lead to ischemic and thrombotic events, a mechanism that has never been fully elucidated, but may play a fundamental role in its pathogenesis. While pure, non-atherosclerotic, CAE is believed to have better prognosis when compared to atherosclerotic obstructive CAE, it is thought that CAE is not a simple condition but rather has an adverse clinical course. Nevertheless, long-term prognosis and outcome of CAE is similar to atherosclerotic-non-CAE. Since CAE was first described, oral anticoagulants have been considered as a valid treatment option. Dual antiplatelet therapy is widely employed in acute coronary syndrome (ACS), which also applies to CAE patients presenting with ACS. However, there is a significant uncertainty about the best treatment strategy for CAE in acute myocardial infarction. We hereby report a variety of presentations of CAE complicated with ST elevation myocardial infarction (STEMI). Pathophysiological and anatomical varieties of ectatic coronary culprit lesions represent clinical challenges in uniformly managing this condition. Our review is unique in critically showing the pathophysiology, available controversial evidence upon management and prognostic features of CAE with STEMI. (Anadolu Kardiyol Derg 2013; 13: 695-701)

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Multiple aneurysms of the coronary arteries in a patient with systemic aneurysmal disease

Cited by 41 publications

References 8 publications

Unusual combination of coronary artery, abdominal aortic and iliac artery inflammatory aneurismal disease

Unusual combination of coronary artery, abdominal aortic and iliac artery inflammatory aneurismal disease

A rare case of giant coronary artery aneurysm in the context of multiple arterial aneurysms

Coronary artery ectasia as a culprit for acute myocardial infarction: review of pathophysiology and management

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