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coronary artery ectasia

Rashmi Kerr, Cinosh Mathew, Ram Gopal Shahi, Rajneesh Calton
OBJECTIVE: To assess the clinical and angiographic profile of patients with coronary artery ectasias (CAE) and assess their outcomes. METHODS: One year retrospective and one year prospective study was carried out in the Department of Cardiology in CMC, Ludhiana from January 2011 to December 2012 on all patients undergoing coronary angiographies and each patient was followed up for 1 year. Their outcomes were noted and statistical analysis carried out. RESULTS: There were a total of 327 males (66...
June 2016: Journal of the Association of Physicians of India
Christine Meindl, Birgit Achatz, Deborah Huber, Andrea Baessler, Ute Hubauer, Christa Meisinger, Christian Hengstenberg, Jeanette Erdmann, Stefan Buchner, Lars Maier, Heribert Schunkert, Kurt Debl, Marcus Fischer
BACKGROUND: The presence of coronary artery ectasia (CAE) is influenced by genetic factors and related to the presence of aneurysms in other vascular beds. Bicuspid aortic valve (BAV) disease is frequently accompanied by ascending aortic aneurysm. Because the aortic valve and the proximal parts of the coronary arteries share a common embryonic origin, we hypothesized that CAE is associated with BAV disease. METHODS AND RESULTS: One hundred seventy-seven patients with suspected aortic valve disease (n=94 BAV, n=83 tricuspid aortic valve) underwent both cardiac magnetic resonance imaging and coronary angiography...
October 2016: Circulation. Cardiovascular Interventions
Taiji Okada, Akihiro Endo, Simpei Ito, Taku Nakamura, Takashi Sugamori, Nubuyuki Takahashi, Hiroyuki Yoshitomi, Kazuaki Tanabe
Coronary artery fistulas are rare and the feeding artery is ectatic and tortuous. It is not well-known whether coronary artery ectasia (CAE) is a risk factor of acute coronary syndrome (ACS) in the puerperal periods. A 40-year-old woman with a coronary artery fistula and an ectatic right coronary artery (RCA) had delivered twins. A month later, she had chest pain and coronary angiography revealed thrombogenesis in the RCA. She had no risk factors of cardiovascular disease or thrombogenesis. We should recognize that CAE is a risk factor for ACS in women in the perinatal and puerperal periods...
2016: Internal Medicine
Mutlu Vural, Ender Özal
No abstract text is available yet for this article.
September 2016: Anatolian Journal of Cardiology
Behrad Darvishi, Yunes Panahi, Mostafa Ghanei, Leila Farahmand
Among the most readily existing chemical warfare agents, sulfur mustard (SM), also known as Mustard Gas, is the most commonly used agent owing to its ease of synthesis and stockpiling. Unprotected exposure mostly results in debilitation rather than lethal injuries, leaving an exposed victim incapacitated for days to even months. Although acute toxicity of sulfur mustard has been fairly established, the long-term post-exposure effects either chronic or short-term but significant are still evolving. 30,000 Iranian victims of the Iran-Iraq imposed war, have now - after 30 years - formed the key population demonstrating long-term effects from sulfur mustard exposure...
September 8, 2016: Basic & Clinical Pharmacology & Toxicology
Vehbi Doğan, Erhan Karaaslan, Samet Özer, Rüveyda Gümüşer, Resul Yılmaz
BACKGROUND: Kawasaki disease is a systemic vasculitis predominately affecting coronary arteries. Hemophagocytic lymphohistiocytosis can complicate the course of Kawasaki disease. Rare cases of secondary hemophagocytic lymphohistiocytosis occurring during the acute phase of Kawasaki disease have been reported. CASE REPORT: We report here a 4 month-old girl with diffuse coronary ectasia and secondary hemophagocytic lymphohistiocytosis occurring during the acute phase of incomplete Kawasaki disease...
July 2016: Balkan Medical Journal
Mark R Heckle, Raza Askari, Mohamed Morsy, Uzoma N Ibebuogu
Coronary artery ectasia also known as dilated coronopathy is a relatively rare finding that is most commonly associated with atherosclerosis. Several alternative reasons including congenital malformations and chronic inflammation have been identified as a cause of CAE. In this case, we discuss a 61-year-old male with postoperative chest pain who was found to have localized CAE in the absence of significant atherosclerosis. We also elucidate the recently proposed markers of chronic inflammation that might be associated with coronary artery ectasia...
July 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
Bartosz Hudzik, Mariusz Gąsior, Barbara Zubelewicz-Szkodzińska
No abstract text is available yet for this article.
October 2016: Atherosclerosis
Yu Luo, Jiani Tang, Xu Liu, Jianping Qiu, Zi Ye, Yan Lai, Yian Yao, Jimin Li, Xiaodong Wang, Xuebo Liu
The differences in angiographic characteristics and cardiovascular (CV) risk factors between coronary artery aneurysm (CAA) and coronary artery ectasia (CAE) have not been compared systematically. Of 10 876 patients undergoing coronary angiography, patients with CAA (n = 85) and CAE (n = 51) were screened. The prevalence of CAA was greater than that of CAE (P < .05). The right coronary artery was the most involved (70.6%) in CAE compared with left circumflex (52.9%) and left anterior descending (41.2%). Coronary artery aneurysm coexisted with coronary artery disease (CAD) more frequently than CAE (P = ...
August 27, 2016: Angiology
Baktash Morrad, Huseyin Ugur Yazici, Yuksel Aydar, Cengiz Ovali, Aydin Nadir
This study aimed to evaluate the role of gender in types and frequency of coronary artery aneurysm and ectasia.We assessed retrospectively the angiography records of 6100 patients. At first, we mainly reviewed angiographic movies for the presence of coronary ectasia and/or aneurysm. Consequently, based on the number of the coronary artery involvement, the coronary ectasia and aneurysm were graded as mild if 1 coronary artery was involved and severe if 2 or more coronary arteries were involved. The location of ectasia and aneurysm was analyzed with respect to their isolated or combined location on various coronary arteries...
August 2016: Medicine (Baltimore)
Hideo Tsunemoto, Kazuhiro Yamaura
Single coronary artery is rear. Various combination anomalies have been reported in patients with this anomaly undergoing heart surgery. We report a case of annuloaortic ectasia combined with single coronary artery and ventricular septal defect. The patient was a 67-year-old man with exertional dyspnea. Coronary angiography and computed tomography revealed a single coronary artery. Aortography showed severe aortic regurgitation and dilatation of Valsalva sinus. Ultrasonic cardiography showed small ventricular septal defect at the membranous septum...
August 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Emrullah Kızıltunç, Murat Gök, Harun Kundi, Mustafa Çetin, Canan Topçuoğlu, Birsen Gülkan, Hülya Çiçekçioğlu, Ender Örnek
BACKGROUND AND AIMS: Thiol/disulfide homeostasis has an important role in the antioxidant defense system. Oxidative stress may contribute to the pathogenesis of coronary artery ectasia. The aim of this study was to evaluate plasma thiol levels and thiol/disulfide homeostasis in patients with isolated coronary artery ectasia. METHODS: Forty-one patients with isolated coronary artery ectasia and 72 patients with normal coronary arteries were included in the study...
October 2016: Atherosclerosis
Gonca Keskindemirci, Nuray Aktay Ayaz, Neslihan Melikoğlu, Helen Bornaun, Çiğdem Aydoğmuş, Esin Aldemir, Gönül Aydoğan
Systemic onset juvenile idiopathic arthritis (SoJIA) is characterized by arthritis, fever and visceral organ involvement including hepatosplenomegaly, lympadenopathy and serositis. This is a case of SoJIA misdiagnosed as Kawasaki disease (KD) and developed machrophage activation syndrome (MAS) secondary to Ebstein-Barr virus (EBV) infection. It is presented to point out the conditions that may come along. First of all, SoJIA should be kept in mind while making the differential diagnosis of coronary arterial ectasias and dilatations usually seen in vasculitic diseases like KD...
September 2015: Turkish Journal of Pediatrics
Bekir Serhat Yıldız, Emel Özkan, Fatma Esin, Hayrettin Özkan, Yusuf İzzettin Alihanoğlu, İsmail Doğu Kılıç, Harun Evrengül, Havane Asuman Kaftan
OBJECTIVE: The present study compared heart rate variability (HRV) parameters in patients with coronary artery ectasia (CAE) and coronary artery disease (CAD). METHODS: The study population consisted of 60 consecutive patients with CAE (14 women; mean age 51.63±7.44 years), 60 consecutive patients with CA (15 women; mean age 53.67±9.31 years), and 59 healthy individuals (13 women; mean age 52.85±8.19 years). Electrocardiograms, 24-hour Holter analyses, and routine biochemical tests were performed, and clinical characteristics were evaluated...
June 2016: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
Evangelia Bachlava, Sophia Loukopoulou, Evangelos Karanasios, George Chrousos, Athanasios Michos
INTRODUCTION: There are limited data regarding the possible benefits of abciximab in children with Kawasaki disease (KD), who developed serious cardiac abnormalities non-responsive to standard treatment. MATERIALS AND METHODS: We retrospectively identified children with KD who were treated with abciximab from 2007 to 2015. Data regarding clinical course, treatment, echocardiographic data and follow-up at 1 and 6months were retrieved. RESULTS: During the study period, fifteen children were identified who were diagnosed with KD and were given abciximab...
October 1, 2016: International Journal of Cardiology
Helene Pinches, Katherine Dobbins, Sarah Cantrell, Joseph May, Joseph Lopreiato
Kawasaki disease (KD) is the leading cause of acquired heart disease in children in the United States. It is a systemic vasculitis characterized by diffuse inflammation of medium and small blood vessels. If untreated it can lead to myocardial infarction, ischemic heart disease, or sudden death. Early recognition and treatment decrease the incidence of coronary consequences, resulting in improved clinical outcomes. Incomplete KD is much less likely to fulfill major clinical diagnostic criteria. Infants <12 months of age are more likely to have an incomplete presentation, and children <6 months of age are more likely to develop cardiac complications...
August 2016: Pediatrics
Luca Di Marco, Davide Pacini, Antonio Pantaleo, Alessandro Leone, Giuseppe Barberio, Giuseppe Marinelli, Roberto Di Bartolomeo
OBJECTIVES: Aortic root replacement using a composite graft is the treatment of choice for a large variety of aortic root conditions with a diseased aortic valve. The objective of the current study was to evaluate the long-term results of this procedure. METHODS: Between 1978 and 2010, 1045 patients aged 58.7 ± 13.6 years underwent aortic root composite graft replacement using the following techniques: 95 Bentall operation; 926 the "button technique;" 24 the Cabrol technique...
October 2016: Journal of Thoracic and Cardiovascular Surgery
Steven A Kaplan
No abstract text is available yet for this article.
April 2016: Journal of Urology
Vanessa Rameh, Antoine Kossaify
Coronary artery ectasia is a rare angiographical finding, and it accounts for less than 5% of all coronary angiograms. We report a case of a 55-year-old male patient who presented with fatigue and exertional chest pain. Paraclinical tests revealed cardiac ischemia and sinus node dysfunction, as well as coronary artery ectasia without significant coronary stenosis. Factors involved in cardiac ischemia in this context comprise slow flow, poor collateral circulation, microcirculatory dysfunction, lack of adequate exertional coronary vasodilatation, and endothelial dysfunction...
2016: Clinical Medicine Insights. Case Reports
Sevket Balta, Cengiz Ozturk, Mustafa Demir, Ali Osman Yildirim
No abstract text is available yet for this article.
May 2016: Korean Circulation Journal
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