Article Text

PDF
CASE REPORT
Coronary artery ectasia: a rare cause of acute coronary syndrome
  1. Suraj Kumar Kulkarni1,2,
  2. Shivakumar Bhairappa1,
  3. Abdul Mujeer1,
  4. 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}gmail.com

Summary

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.

  • cardiovascular medicine
  • interventional cardiology
  • ischaemic heart disease

Statistics from Altmetric.com

Footnotes

  • 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.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.