Current knowledge and significance of coronary artery ectasia: a chronologic review of the literature, recommendations for treatment, possible etiologies, and future considerations

Clinical Cardiology
V L SorrellA A Bove

Abstract

Coronary artery ectasia is the abnormal enlargement of the coronary artery. The prognosis, treatment, and etiology of this disease remain an enigma. There is some evidence to suggest that the incidence of ectasia is increasing, and therefore understanding of this entity needs to improve. This article reviews the current literature on coronary artery ectasia and summarizes the findings. A treatment plan that targets each of the suggested clinical complications is provided. Using multiple indirect observations and current understanding of endothelium-derived relaxation factor, a possible etiology that implicates overstimulation of endogenous nitric oxide is provided. Current literature suggests that ectatic coronary arteries, even without the presence of coronary stenosis, are subject to thrombus formation, vasospasm, and spontaneous dissection. Newer subgroups of ectasia are arising with the use of multiple interventional devices to dilate coronary artery stenosis. By design, these destroy the media of the coronary artery, and it is not clear whether these "iatrogenic" ectatic arteries are subject to the same complications as "idiopathic" coronary artery ectasia. Further investigation is necessary to help define the benefit of t...Continue Reading

References

Apr 1, 1978·British Heart Journal·R H SwantonB T Williams
Feb 1, 1976·The American Journal of Cardiology·J E MarkisR Gorlin
Feb 11, 1992·The American Journal of Cardiology·N B De CesareC C Haudenschild
Sep 1, 1989·Clinical Cardiology·P E Perlman, N A Ridgeway
Oct 1, 1985·British Heart Journal·G G HartnellR B Pridie
Dec 1, 1985·Mayo Clinic Proceedings·A A Bove, R E Vlietstra
Jul 1, 1966·Radiology·L Björk
Aug 1, 1983·The American Journal of Cardiology·J A HillC J Pepine
Sep 5, 1981·The Medical Journal of Australia·J F England
May 1, 1994·Catheterization and Cardiovascular Diagnosis·H SuzukiT Katagiri
Jan 20, 1996·Lancet·V L SorrellA A Bove
Oct 1, 1963·Archives of Environmental Health·P CARMICHAEL, J LIEBEN

❮ Previous
Next ❯

Citations

Apr 2, 2009·Heart and Vessels·Necati DagliMehmet Balin
Aug 19, 2011·Journal of Thrombosis and Thrombolysis·Yuksel CicekAhmet Temiz
Nov 8, 2006·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Kazuo YoshidaJun Amano
Aug 10, 2012·QJM : Monthly Journal of the Association of Physicians·A AtayaM C Alraies
Apr 16, 2014·Annals of Cardiac Anaesthesia·Anil Kumar H RamaiahK Ravi Shankar Shetty
Jun 22, 2012·The International Journal of Cardiovascular Imaging·Azza FarragSoliman Ghareeb
Sep 18, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Vu LeThomas A Hennebry
Dec 13, 2005·International Journal of Cardiology·Marinica SavinoFilippo Crea
Feb 16, 2006·International Heart Journal·Shigemasa TaniToshio Kushiro
Jul 25, 2003·Asian Cardiovascular & Thoracic Annals·Peter NyamuNancy A Sugirtham
Nov 6, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Prasad GunasekaranKamal Gupta
May 12, 2007·Clinical Cardiology·P RamappaD Thatai
Apr 13, 2007·Coronary Artery Disease·Abdel-Rauf ZeinaElisha Barmeir
Aug 2, 2012·The Journal of Manual & Manipulative Therapy·Jason L SilvernailStephen C Allison
Apr 17, 2012·Internal Medicine·Mustafa ÇetinMehmet Bostan
Jan 15, 2014·The Journal of Manual & Manipulative Therapy·Bradley S TragordStephen C Allison
Jan 30, 2015·The Journal of Orthopaedic and Sports Physical Therapy·Lewis A IngramDarren A Rivett
May 8, 2020·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Bensen SunXian Jiang
Nov 22, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M H ChamberlainG D Angelini
Mar 20, 2015·Research in Cardiovascular Medicine·Farshad ShakerianAli Zahedmehr
Aug 24, 2010·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Sadik AcikelRamazan Akdemir

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.