Aneurysmatic coronary artery disease: presentation of a case and review the literature/Enfermedad aneurismatica coronaria: presentacion de caso clinico y revision de la literatura

Coronary artery aneurysms or ectasias are dilatations of arterial segments, which are typically incidentally identified at angiography. Although the etiology isn't clearly established, several large clinical series described that the most common etiologic factor for coronary aneurysms is atherosclerotic coronary artery disease, but they can also be congenital or secondary to inflammatory or connective tissue disorders. A well-known association with Kawasaki disease is also studied. We review the case of a patient with acute coronary syndrome (ACS) and aneurysms dilations in coronary arteries, its diagnosis and therapeutic approach. (Acta Med Colomb 2009; 34: 38-41). Keywords: atherosclerosis, coronary aneurysms, acute coronary syndrome, coronary ectasia. La enfermedad aneurismatica coronaria o ectasias y dilataciones de segmentos coronarios, son hallazgos tipicamente incidentales en los estudios angiograficos. Aunque no esta claramente establecida la etiologia, muchas series describen como factor mas comun la aterosclerosis coronaria, pero tambien un desorden congenito, secundario a inflamacion o enfermedad del tejido conectivo. Es bien estudiada su asociacion con enfermedad de Kawasaki. Se revisa el caso de un paciente con sindrome coronario agudo (SCA) y dilataciones aneurismaticas en arterias coronarias, su enfoque diagnostico y terapeutico. (Acta Med Colomb 2009; 34: 38-41). Palabras claves: ateroesclerosis, aneurismas coronarios, sindrome coronario agudo, ectasia coronaria.