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Associations between coronary artery disease, aneurysm and ectasia

Cengiz Ovalı1, Baktash Morrad2

  • 1Cardiovascular Surgery Department, Medical Faculty, Eskisehir Osmangazi University, Eskisehir, Turkey.

Kardiochirurgia I Torakochirurgia Polska = Polish Journal of Cardio-Thoracic Surgery
|November 29, 2017
PubMed

Insights

Coronary artery aneurysms (CAA) were more frequent in patients with coronary artery disease (CAD), while coronary artery ectasia (CAE) showed no significant difference. Further research is needed for CAA and CAE treatment and prognosis.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Coronary artery aneurysm (CAA) and ectasia (CAE) are vascular conditions that can occur alongside coronary artery disease (CAD).
  • Understanding the prevalence and association of CAA and CAE with CAD is crucial for patient management.

Purpose of the Study:

  • To investigate the frequency and contribution of coronary artery aneurysm/ectasia.
  • To determine the correlation between CAA/CAE and coronary artery disease (CAD).

Main Methods:

  • Retrospective analysis of 418 adult patients' coronary angiography records.
  • CAD defined as >50% stenosis in epicardial coronary arteries.
  • Comparison of CAA/CAE prevalence and features in patients with and without CAD.

Main Results:

  • CAA/CAE observed in 6.6% of CAD+ and 6.1% of CAD- patients (p=0.2).
  • Coronary artery aneurysms were significantly higher in CAD+ patients (0.8% vs. 0.4%, p=0.015).
  • Coronary artery ectasia showed no significant variation between CAD+ and CAD- groups (5.8% vs. 5.7%, p=0.47).

Conclusions:

  • CAA and CAE are frequently encountered in patients undergoing angiography.
  • CAA and CAE are not merely simple vessel dilations and require further investigation.
  • Additional studies are necessary to establish effective treatments and prognostic evaluations for CAA/CAE.
Abstract

Keywords:
aneurysmcoronary artery diseaseectasia

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