scholarly journals Pharmacologic Management of Coronary Artery Ectasia

Cureus ◽  
2021 ◽  
Author(s):  
Anwar Khedr ◽  
Bandana Neupane ◽  
Ekaterina Proskuriakova ◽  
Keji Jada ◽  
Sandrine Kakieu Djossi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Ectasia ◽  
Pharmacologic Management

scholarly journals A pebble clogging a river: a case report of thrombosed coronary aneurysmal ectasia

2020 ◽  
Author(s):  
Akshar Jaglan ◽  
Tarek Ajam ◽  
Steven C Port ◽  
Tanvir Bajwa ◽  
A Jamil Tajik
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Kawasaki Disease ◽  
Treatment Options ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Coronary Artery Ectasia ◽  
Ventricular Ejection Fraction ◽  
Coronary Syndrome ◽  
Patient Reported

Abstract Background Coronary artery ectasia (CAE) is a rare anomaly that can present at any age. Predisposing risk factors include Kawasaki disease in a younger population and atherosclerosis in the older generation. We present a unique case of the management of a young woman diagnosed with multivessel CAE with aneurysmal changes in the setting of acute coronary syndrome and subsequently during pregnancy. Case summary A 23-year-old woman presented with acute onset chest pain. Electrocardiogram revealed no ischaemic changes; however, troponin I peaked at 16 ng/mL (reference range 0–0.04 ng/mL). Echocardiogram showed apical dyskinesis with preserved left ventricular ejection fraction. Coronary angiography showed multivessel CAE along with significant thrombus burden in an ectatic lesion of the left anterior descending artery. Since the patient was haemodynamically stable, conservative management with dual antiplatelet therapy and anticoagulation was started. On follow-up, coronary computed tomographic angiogram illustrated resolution of the coronary thrombi and echocardiogram showed improvement to the apical dyskinesis. It was presumed that Kawasaki disease was the most likely aetiology of her disease. Subsequently the patient reported that, contrary to medical advice, she was pregnant, adding another layer of complexity to her case. Discussion Coronary artery ectasia can be discovered as an incidental finding or can present with an acute coronary syndrome. Management is challenging in the absence of randomized trials and large-scale data. Treatment options include medications, percutaneous intervention, and surgical revascularization. Close surveillance is required in these patients to assess progression of disease. Here we discuss treatment options during acute coronary syndrome and pregnancy.

Increased plasminogen activator inhibitor-1 levels in patients with isolated coronary artery ectasia

2011 ◽  
Vol 33 (1) ◽  
pp. 120-123 ◽  
Author(s):  
Yuksel Cicek ◽  
Murtaza Emre Durakoglugil ◽  
Turan Erdogan ◽  
Adnan Yilmaz ◽  
Huseyin Avni Uydu ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Plasminogen Activator ◽  
Plasminogen Activator Inhibitor ◽  
Coronary Artery Ectasia ◽  
Plasminogen Activator Inhibitor 1 ◽  
Activator Inhibitor

scholarly journals Clinical outcome of various management strategies in coronary artery ectasia

2017 ◽  
Vol 69 (3) ◽  
pp. 319-321 ◽  
Author(s):  
Nandhakumar Vasu ◽  
Srinivasan Narayanan ◽  
Mullasari S. Ajit
Keyword(s):  
Coronary Artery ◽  
Clinical Outcome ◽  
Management Strategies ◽  
Coronary Artery Ectasia

scholarly journals The Relationship between Vitamin D and Coronary Artery Ectasia in Subjects with a Normal C-Reactive Protein Level

2017 ◽  
Vol 47 (2) ◽  
pp. 231 ◽  
Author(s):  
Goksel Cagirci ◽  
Selcuk Kucukseymen ◽  
Isa Oner Yuksel ◽  
Nermin Bayar ◽  
Erkan Koklu ◽  
...  
Keyword(s):  
Vitamin D ◽  
Coronary Artery ◽  
Protein Level ◽  
Coronary Artery Ectasia ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
The Relationship

scholarly journals Glutathione S Transferases M1 and T1 Genetic Variants are Associated with Coronary Artery Ectasia

2013 ◽  
Vol 62 (18) ◽  
pp. C10
Author(s):  
Ayşe Yiğit ◽  
Efkan Uz ◽  
H. Ramazan Yılmaz ◽  
Abdullah Doğan ◽  
Barbaros Yiğit ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Genetic Variants ◽  
Coronary Artery Ectasia ◽  
Glutathione S Transferases
Sign in / Sign up

Export Citation Format

Share Document