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coronary artery ectasia

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https://www.readbyqxmd.com/read/29046758/coronary-artery-ectasia-presenting-with-acute-inferior-wall-myocardial-infarction-in-a-young-adult
#1
Htun Latt, Sammy Aung, Kyaw Kyaw, Richard Seher
Coronary artery ectasia (CAE), a variant of coronary artery anomalies, is a rare clinical entity. Although atherosclerotic coronary artery disease (CAD) is the most common cause of acute coronary syndrome (ACS), CAE also conveys a relatively high risk for potentially life-threatening cardiac events. We report a case of a 35-year-old male with two-vessel CAE, who presented with acute inferior wall ST election myocardial infarction (STEMI). After initiating medical therapy including bivalirudin, emergent percutaneous coronary intervention (PCI) with stenting of postero-lateral branch of right coronary artery (RCA) was performed...
October 2017: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/29043397/myocardial-fistulisation-and-coronary-arterial-ectasia-in-children-with-univentricular-circulation-an-under-recognised-problem
#2
Daragh Finn, Kevin Walsh, David Roberson, Colin J McMahon
Among 241 children with univentricular circulation who underwent total cavopulmonary connection (Glenn or Fontan) over a 17 years period (January 2000-April 2017), we found two patients who had diffuse coronary fistulisation of their myocardium (0.8%). We also report an additional third case from Oak Lawn, Illinois, USA. One of the children had documented normal coronary arteries and myocardium at catheterisation prior to development of the fistulisation process. The same child also developed extensive veno-venous collaterals...
October 17, 2017: Pediatric Cardiology
https://www.readbyqxmd.com/read/29038408/-aortitis-syndrome-requiring-redo-bentall-procedure-with-coronary-artery-bypass-grafting-due-to-graft-detachment-report-of-a-case
#3
Masami Sotokawa, Hideyuki Tomioka, Takashi Azuma, Shigeyuki Aomi, Kenji Yamazaki
A 53-year-old woman was referred to us for reoperation of aortic root. Twenty-three years ago, she was diagnosed with aortitis and suffered from annuloaortic ectasia, aortic regurgitation, severe stenosis of left carotid and subclavian arteries and occulusion of the main trunk of left coronary artery. The left coronary system was perfused by collateral arteries from right coronary artery. She had undergone original Bentall procedure( Cooley graft 26 mm+SJM valve 25 mm) with coronary artery bypass grafting (CABG)[saphenous vein graft (SVG)-left anterior descending artery (LAD)]...
October 2017: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/28974667/intracoronary-administration-of-thrombolysis-for-severe-coronary-artery-ectasia-presenting-as-an-acute-inferior-st-segment-elevation-myocardial-infarction
#4
Avadhesh Saraswat, Atifur Rahman, Ravinder Batra
We present a 75-year-old male with acute inferior ST-elevation myocardial infarction, severe coronary artery ectasia, and large thrombus burden in the right coronary artery to support the use of intracoronary thrombolysis as a second-line therapy for a large thrombus burden in primary percutaneous coronary intervention.
October 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/28884991/acute-cardiac-disease-in-a-patient-with-hyper-ige-syndrome
#5
A Castilano, H Watti, A Abdulbaki, K Modi, J A Bocchini, S L Bahna
We describe the case of a 24-year-old male with hyper-IgE syndrome (HIES) which was diagnosed at 4 years of age and died from a very rare cardiac complication. He had typical clinical and laboratory manifestations of HIES, including total serum IgE as high as > 100,000 IU/mL. Stem cell transplantation was not available. During the 20-year follow-up, he suffered numerous various infections of the skin and deep organs, partial lung resection, as well as multiple bone fractures. At age 24, he developed acute decompensated heart failure associated with elevated serum troponin I and brain natriuretic protein...
September 2017: European Annals of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/28818354/retrospective-study-of-the-impact-of-unrecognised-kawasaki-disease-coronary-aneurysm-and-ectasia
#6
Benjamin R Waterhouse, Robert M R Tulloh, Yongcheol Kim, Will Creasy, David Adlam, Thomas W Johnson
BACKGROUND: Coronary artery aneurysms resulting from unrecognised or untreated Kawasaki Disease (KD) have thrombotic and stenotic potential leading to myocardial infarction. We aimed to characterise the prevalence and outcomes of patients presenting to a UK-based adult tertiary cardiology service with angiographic evidence of aneurysm or ectasia. METHODS: Retrospective review was undertaken of reports and original coronary angiograms in all patients under 50years old undergoing coronary angiography between 2011 and 2015...
December 1, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28792184/coronary-artery-ectasia-the-need-for-an-expanded-classification
#7
Arun Gopalakrishnan, Sanjay Ganapathi, Krishna Kumar Mohanan Nair, Harikrishnan Sivadasanpillai, Ajitkumar Valaparambil
No abstract text is available yet for this article.
July 2017: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/28769872/intracranial-arterial-dolichoectasia
#8
REVIEW
Victor J Del Brutto, Jorge G Ortiz, José Biller
An increased diameter (ectasis) and/or long and tortuous course (dolichosis) of at least one cerebral artery define intracranial arterial dolichoectasia (IADE). IADE could be detected incidentally or may give rise to an array of neurological complications including ischemic stroke, intracranial hemorrhage, or compression of surrounding neural structures. The basilar artery is preferentially affected and has been studied in more detail, mainly due to the presence of accepted diagnostic criteria proposed by Smoker and colleagues in 1986 (1)...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28651651/a-rare-giant-coronary-artery-ectasia-coexisting-with-a-coronary-artery-fistula-in-an-older-infant
#9
Sijie Wu, Chengming Fan, Jinfu Yang
Coronary artery fistula with giant coronary artery ectasia is a rare abnormal CHD. Multidetector CT is useful for the diagnosis. Early diagnosis and surgery are recommended.
September 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28648421/clinical-outcome-of-various-management-strategies-in-coronary-artery-ectasia
#10
Nandhakumar Vasu, Srinivasan Narayanan, Mullasari S Ajit
No abstract text is available yet for this article.
May 2017: Indian Heart Journal
https://www.readbyqxmd.com/read/28612914/association-of-serglycin-levels-with-isolated-coronary-artery-ectasia
#11
Harun Kundi, Murat Gok, Canan Topcuoglu, Ender Ornek
BACKGROUND: Serglycin has an important role in the inflammatory status and the relationship between coronary artery ectasia (CAE) and serglycin is still unknown. AIM: In this study, we aimed to investigate association of serglycin level with isolated CAE. METHODS: Fifty-two patients with isolated CAE and 35 individuals with normal coronary angiography were included into the study. Markis classification and number of ectatic coronary arteries were recorded...
June 14, 2017: Kardiologia Polska
https://www.readbyqxmd.com/read/28598221/the-beneficial-effects-of-renin-angiotensin-system-blockades-on-2-year-outcomes-in-coronary-artery-ectasia-patients
#12
Yintang Wang, Yang Wang, Dong Yin, Kefei Dou, Yongjian Wu, Weihua Song
OBJECTIVES: This study was designed to investigate the impact of renin-angiotensin system blockade (RASB) therapy with angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers on the outcomes of coronary artery ectasia (CAE). METHODS: The CAE patients identified by coronary angiography from our center were consecutively enrolled. We obtained the baseline discharge prescription of RASB from the medical records system and conducted follow-up through telephone interviews...
June 25, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/28555388/right-coronary-artery-ectasia-with-coronary-arteriovenous-fistula-mimicking-takotsubo-like-left-ventricular-dysfunction-in-the-electrocardiogram
#13
Akane Tsuchiya, Michiaki Nagai, Keigo Dote
A coronary arteriovenous fistula is an abnormal connection between a coronary artery and any of four chambers in the heart. We repot a unique case with a fistulae originating from right coronary artery and draining into the right atrium via coronary sinus although Takotsubo-like left ventricular dysfunction or acute myocardial infarction was initially thought to have occurred according to the electrocardiogram finding.
May 29, 2017: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/28452306/characteristics-of-coronary-artery-ectasia-and-its-association-with-carotid-intima-media-thickness-and-high-sensitivity-c-reactive-protein
#14
Osama Sanad, Eman Al-Keshk, Ahmed Ramzy, Mohammed A Tabl, Ahmed Bendary
No abstract text is available yet for this article.
March 2017: Atherosclerosis. Supplements
https://www.readbyqxmd.com/read/28407827/-values-of-neutrophil-lymphocyte-ratio-and-platelet-lymphocyte-ratio-in-predicting-sensitivity-to-intravenous-immunoglobulin-in-kawasaki-disease
#15
Ying-Di Yuan, Jun Sun, Peng-Fei Li, Chun-Lei Wei, Yan-Hui Yu
OBJECTIVE: To study the values of neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) in predicting the sensitivity to intravenous immunoglobulin (IVIG) in Kawasaki disease (KD). METHODS: A retrospective cohort study was conducted in 404 children with newly diagnosed KD. The data on routine blood tests, NLR, and PLR were collected before and after IVIG treatment. The receiver operating characteristic (ROC) curve was used to determine the cut-off values of NLR and PLR in predicting the insensitivity to IVIG...
April 2017: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/28382079/the-relationship-between-vitamin-d-and-coronary-artery-ectasia-in-subjects-with-a-normal-c-reactive-protein-level
#16
Goksel Cagirci, Selcuk Kucukseymen, Isa Oner Yuksel, Nermin Bayar, Erkan Koklu, Ramazan Guven, Sakir Arslan
BACKGROUND AND OBJECTIVES: Vitamin D is generally known to be closely related to inflammation. The effects of vitamin D on coronary artery disease (CAD) are not fully explained. Nowadays, coronary artery ectasia (CAE) cases are common and are regarded as being a kind of CAD. We aimed to investigate, in a case-control study, the relationship between vitamin D and CAE without an associated inflammatory process. SUBJECTS AND METHODS: This study population included 201 patients (CAE group, 121 males; mean age, 61...
March 2017: Korean Circulation Journal
https://www.readbyqxmd.com/read/28378434/presentation-of-missed-childhood-kawasaki-disease-in-adults-experience-from-a-tertiary-care-center-in-north-india
#17
Rajesh Vijayvergiya, Sagar Bhattad, Subhash Varma, Manphool Singhal, John Gordon, Surjit Singh
AIM: Kawasaki disease (KD) is the most common cause of acquired heart disease in children in Japan, North America and Europe. Undiagnosed and untreated KD can have clinically significant consequences later in life. The clinical spectrum of missed childhood KD is frequently being recognized during adulthood. We report four adult cases of acute coronary events, in which coronary angiography was suggestive of sequelae of KD. METHODS: Four adults who presented with acute coronary events, had coronary angiography for evaluation...
August 2017: International Journal of Rheumatic Diseases
https://www.readbyqxmd.com/read/28322100/could-neutrophil-lymphocyte-ratio-be-an-indicator-of-coronary-artery-disease-coronary-artery-ectasia-and-coronary-slow-flow
#18
Mücahid Yılmaz, Hasan Korkmaz, Mehmet Nail Bilen, Ökkeş Uku, Ertuğrul Kurtoğlu
Objective To determine whether neutrophil/lymphocyte ratio (NLR) differed between patients with isolated coronary artery disease (CAD), isolated coronary artery ectasia (CAE), coronary slow flow and normal coronary anatomy. Methods Patients who underwent coronary angiography were consecutively enrolled into one of four groups: CAD, coronary slow flow, CAE and normal coronary anatomy. Results The CAD ( n = 40), coronary slow flow ( n = 40), and CAE ( n = 40) groups had similar NLRs (2.51 ± 0...
December 2016: Journal of International Medical Research
https://www.readbyqxmd.com/read/28274249/difficult-diagnosis-of-atypical-kawasaki-disease-in-an-infant-younger-than-six-months-a-case-report
#19
L Petrarca, R Nenna, P Versacci, A Frassanito, G Cangiano, A Nicolai, F Scalercio, L Lo Russo, P Papoff, C Moretti, F Midulla
BACKGROUND: Kawasaki disease (KD) is an acute inflammatory vasculitis of unknown origin. CASE PRESENTATION: We report the case of a 5-month-old child with an atypical form of KD, characterized by undulating symptoms, who developed an aneurysm of the right coronary artery and an ectasia of the left anterior descending coronary artery. CONCLUSION: This case report underlines the difficulties in recognizing incomplete forms of the illness in young infants, who are at higher risk of cardiac complications...
March 8, 2017: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/28222654/is-coronary-arteritis-a-feature-in-secondary-haemophagocytic-lymphohistiocytosis
#20
Beng Teong See, Ke Xin Yip, Hak Lee Ang
Haemophagocytic lymphohistiocytosis (HLH) is rare. Although Kawasaki disease (KD) has been reported as a precursor to HLH, coronary arteritis occurring at the onset of secondary HLH, not in association with KD, has not been reported. An 8-year-old girl presented with virus-induced secondary HLH associated with a giant aneurysm and ectasia of the coronary arteries which was detected incidentally at onset of the disease. She did not fulfill the criteria for diagnosis of KD. The coronary lesions improved after 6 months of treatment with dexamethasone and etoposide...
February 22, 2017: Paediatrics and International Child Health
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