BMJ Case Reports 2018; doi:10.1136/bcr-2018-225654
  • Unusual presentation of more common disease/injury

Coronary artery ectasia: a rare cause of acute coronary syndrome

  1. Prakash Sadashivappa Surhonne1
  1. 1Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
  2. 2Department of Cardiology, King George’s Medical University, Bangalore, Karnataka, India
  1. Correspondence to Dr Suraj Kumar Kulkarni, surajkk3105{at}
  • Accepted 17 August 2018
  • Published 14 September 2018


Coronary artery ectasia (CAE) is defined as a localised or diffuse dilatation of coronary artery lumen more than 1.5 times that of an adjacent normal segment. CAE may present with or without functionally significant stenosis. Such patients may manifest with stable angina or with acute coronary syndrome. Ectasia may serve as a nidus for thrombus formation with likelihood of distal embolisation or it may lead to dissection or spasm. This condition presents a challenge for an interventionist. Should we intervene or manage it medically. We describe a case of CAE where all the vessels were diffusely ectatic with variable degree of stenosis. In brief we discuss the causes and management issues in ectasia.


  • Contributors SKK and SB drafted the manuscipt and did literature search. AM performed the coronary angiogram. PSS edited and finalised the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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