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Tip I Coronary Artery Ectasia in a Patient with Rheumatic Heartvalve Disease

Received: 2 December 2014     Accepted: 12 December 2014     Published: 19 December 2014
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Abstract

Coronary artery ectasia (CAE) is detected in approximately 1-5% of all coronary angiography procedures. Coronary artery dilatation is only rarely diagnosed or cannot be recognized generally. There is no consensus regarding the definition of this rare anomaly. A 75-year old female who is a hypertansive and hyperlipidemia with a history of chronic stable angina despite full medical therapy. She was admitted on intensive care unit this time because of a typical chest pain that did not alleviate with sublingual nitroglycerin. Coronary angiography revealed mainly of the diffuse ectasia of three coronary artery and rheumatic heart valve disease. She underwent aortic and mitral replacement and a three-vessel bypass. Her postoperative course was well and she was discharged on the postoperative day 7 th. The patient is doing well on follow-up with no recurrence of symptoms.

Published in Journal of Surgery (Volume 2, Issue 6)
DOI 10.11648/j.js.20140206.14
Page(s) 98-100
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Coronary Artery Ectasia, Coronary Angiography, Coronary Artery Bypass Grafting

References
[1] Singh SK, Goyal T, Sethi R, Chandra S, Devenraj V, Rajput NK et al. Surgical treatment for coronary artery aneurysm: a single-centre experience. Interactive CardioVascular and Thoracic Surgery 2013; 17(4):632–7.
[2] Díaz-Zamudio M, Bacilio-Pérez U, Herrera-Zarza MC, Meave-González A, Alexanderson-Rosas E, Zambrana-Balta GF et al.Coronary artery aneurysms and ectasia: role of coronary CT angiography. Radiographics 2009; 29(7):1939– 1954.
[3] Yavuz S, ErisC , Surer S Toktas F.eComment:Coronary artery dilatation: Ectasia or aneurysm.Interactive CardioVascular and Thoracic Surgery2013;17(4):636.
[4] Markis JE, Joffe CD, Cohn PF, Feen DJ, Herman MV, Gorlin R. Clinical signifi-cance of coronary arterial ectasia. Am J Cardiology1976; 37(2):217–222.
[5] Bajaj S, Parikh R, Hamdan A, Bikkina M.Covered-stent treatment of coronary aneurysm after drug-eluting stent placement: case report and literature review. Texas Heart Institute Journal2010; 37(4): 449-454.
[6] Li D, Wu Q, Sun L, Song Y, Wang W, Pan S et al. Surgical treatment of giant coronary artery aneurysm. Journal of Thoracic and Cardiovascular Surgery2005; 130(3):817–821.
[7] Y Gunes, B Boztosun, A Yildiz, A Metin Esen, M Saglam, M Bulut et al . Clinical profile and outcome of coronary artery ectasia.Heart2006; 92(8):1159-1160.
[8] Bluemke DA, Achenbach S, Budoff M, Thomas C, Gerber TC, Gersh B et al. Noninvasive coronary artery imaging: magnetic resonance angiography and multidetector computed tomography angiography: a scientific statement from the American heart association committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young. Circulation2008; 118(5):586-606.
[9] Mavrogeni SI, Manginas A, Papadakis E, Foussas S Douskou E, Vieskelis P. Correlation between magnetic resonance angiography (MRA) and quantitative coronary angiography (QCA) in ectatic coronary vessels. Journal of Cardiovascular Magnetic Resonance2004;6(1):17-23.
[10] Tiryakioglu O, Basel MC, Tiryakioglu SK, Turk T, Yavuz S. An emergency surgical repair for ruptured giant right coronary artery aneurysm. Turkish Journal of Thoracic and Cardiovascular Surgery2008; 16(2):120–121.
[11] Harandi S, Johnston SB, Wood RE, Roberts WC. Operative therapy of coronary arterial aneurysm. American Journal of Cardiology1999; 83(3):1290–3.
[12] Meraj PM, Makaryus AN, Boxt LM. An unusual combination of myocardial bridging and coronary artery aneurysm identified on 64-detector coronary angiography. International Journal of Cardiovascular Imaging2007; 23(5):649-653I.
Cite This Article
  • APA Style

    Suleyman Surer, Senol Yavuz, Faruk Toktaş. (2014). Tip I Coronary Artery Ectasia in a Patient with Rheumatic Heartvalve Disease. Journal of Surgery, 2(6), 98-100. https://doi.org/10.11648/j.js.20140206.14

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    ACS Style

    Suleyman Surer; Senol Yavuz; Faruk Toktaş. Tip I Coronary Artery Ectasia in a Patient with Rheumatic Heartvalve Disease. J. Surg. 2014, 2(6), 98-100. doi: 10.11648/j.js.20140206.14

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    AMA Style

    Suleyman Surer, Senol Yavuz, Faruk Toktaş. Tip I Coronary Artery Ectasia in a Patient with Rheumatic Heartvalve Disease. J Surg. 2014;2(6):98-100. doi: 10.11648/j.js.20140206.14

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  • @article{10.11648/j.js.20140206.14,
      author = {Suleyman Surer and Senol Yavuz and Faruk Toktaş},
      title = {Tip I Coronary Artery Ectasia in a Patient with Rheumatic Heartvalve Disease},
      journal = {Journal of Surgery},
      volume = {2},
      number = {6},
      pages = {98-100},
      doi = {10.11648/j.js.20140206.14},
      url = {https://doi.org/10.11648/j.js.20140206.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20140206.14},
      abstract = {Coronary artery ectasia (CAE) is detected in approximately 1-5% of all coronary angiography procedures. Coronary artery dilatation is only rarely diagnosed or cannot be recognized generally. There is no consensus regarding the definition of this rare anomaly. A 75-year old female who is a hypertansive and hyperlipidemia with a history of chronic stable angina despite full medical therapy. She was admitted on intensive care unit this time because of a typical chest pain that did not alleviate with sublingual nitroglycerin. Coronary angiography revealed mainly of the diffuse ectasia of three coronary artery and rheumatic heart valve disease. She underwent aortic and mitral replacement and a three-vessel bypass. Her postoperative course was well and she was discharged on the postoperative day 7 th. The patient is doing well on follow-up with no recurrence of symptoms.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Tip I Coronary Artery Ectasia in a Patient with Rheumatic Heartvalve Disease
    AU  - Suleyman Surer
    AU  - Senol Yavuz
    AU  - Faruk Toktaş
    Y1  - 2014/12/19
    PY  - 2014
    N1  - https://doi.org/10.11648/j.js.20140206.14
    DO  - 10.11648/j.js.20140206.14
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 98
    EP  - 100
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20140206.14
    AB  - Coronary artery ectasia (CAE) is detected in approximately 1-5% of all coronary angiography procedures. Coronary artery dilatation is only rarely diagnosed or cannot be recognized generally. There is no consensus regarding the definition of this rare anomaly. A 75-year old female who is a hypertansive and hyperlipidemia with a history of chronic stable angina despite full medical therapy. She was admitted on intensive care unit this time because of a typical chest pain that did not alleviate with sublingual nitroglycerin. Coronary angiography revealed mainly of the diffuse ectasia of three coronary artery and rheumatic heart valve disease. She underwent aortic and mitral replacement and a three-vessel bypass. Her postoperative course was well and she was discharged on the postoperative day 7 th. The patient is doing well on follow-up with no recurrence of symptoms.
    VL  - 2
    IS  - 6
    ER  - 

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Author Information
  • Deparment of Cardiovascularsurgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey

  • Deparment of Cardiovascularsurgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey

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