Fate of nonobstructive aneurysmatic coronary artery disease: Angiographic and clinical follow-up report
The incidence of coronary aneurysmatic dilatation without coronary stenosis is rare, and the clinical course of such an entity is unknown. We present five adult patients, four men and one woman, with such an anatomic finding. The age range was 44 to 60 years. In four patients the aneurysmatic dilata...
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| Veröffentlicht in: | The American heart journal 1985-04, Vol.109 (4), p.785-791 |
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| container_title | The American heart journal |
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| creator | Rath, Shmuel Har-Zahav, Yadael Battler, Alexander Agranat, Oren Rotstein, Zeev Rabinowitz, Babeth Neufeld, Henry N. |
| description | The incidence of coronary aneurysmatic dilatation without coronary stenosis is rare, and the clinical course of such an entity is unknown. We present five adult patients, four men and one woman, with such an anatomic finding. The age range was 44 to 60 years. In four patients the aneurysmatic dilatations involved multiple coronary sites. The clinical course in all five patients was suggestive of coronary insufficiency. Despite no obstructive disease, two of the patients developed transient ischemic ECG changes accompanied by chest pain, and another two patients demonstrated ischemic exercise nuclear ventriculography response. In time, all five patients developed acute myocardial infarction and recatheterization revealed complete occlusion of a previously nonstenosed aneurysmatic vessel. More information is needed in order to guide therapy. However, prevention of thrombus formation and close follow-up is highly recommended. |
| doi_str_mv | 10.1016/0002-8703(85)90639-8 |
| format | Article |
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We present five adult patients, four men and one woman, with such an anatomic finding. The age range was 44 to 60 years. In four patients the aneurysmatic dilatations involved multiple coronary sites. The clinical course in all five patients was suggestive of coronary insufficiency. Despite no obstructive disease, two of the patients developed transient ischemic ECG changes accompanied by chest pain, and another two patients demonstrated ischemic exercise nuclear ventriculography response. In time, all five patients developed acute myocardial infarction and recatheterization revealed complete occlusion of a previously nonstenosed aneurysmatic vessel. More information is needed in order to guide therapy. 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We present five adult patients, four men and one woman, with such an anatomic finding. The age range was 44 to 60 years. In four patients the aneurysmatic dilatations involved multiple coronary sites. The clinical course in all five patients was suggestive of coronary insufficiency. Despite no obstructive disease, two of the patients developed transient ischemic ECG changes accompanied by chest pain, and another two patients demonstrated ischemic exercise nuclear ventriculography response. In time, all five patients developed acute myocardial infarction and recatheterization revealed complete occlusion of a previously nonstenosed aneurysmatic vessel. More information is needed in order to guide therapy. 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We present five adult patients, four men and one woman, with such an anatomic finding. The age range was 44 to 60 years. In four patients the aneurysmatic dilatations involved multiple coronary sites. The clinical course in all five patients was suggestive of coronary insufficiency. Despite no obstructive disease, two of the patients developed transient ischemic ECG changes accompanied by chest pain, and another two patients demonstrated ischemic exercise nuclear ventriculography response. In time, all five patients developed acute myocardial infarction and recatheterization revealed complete occlusion of a previously nonstenosed aneurysmatic vessel. More information is needed in order to guide therapy. However, prevention of thrombus formation and close follow-up is highly recommended.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>3984833</pmid><doi>10.1016/0002-8703(85)90639-8</doi><tpages>7</tpages></addata></record> |
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| ispartof | The American heart journal, 1985-04, Vol.109 (4), p.785-791 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aneurysm - complications Aneurysm - diagnostic imaging Aneurysm - physiopathology Applied sciences Biological and medical sciences Cardiology. Vascular system Coronary Angiography Coronary heart disease Electrocardiography Exact sciences and technology Female Follow-Up Studies Heart Humans Male Medical sciences Middle Aged Myocardial Infarction - complications Myocardial Infarction - diagnostic imaging Myocardial Infarction - physiopathology Other techniques and industries |
| title | Fate of nonobstructive aneurysmatic coronary artery disease: Angiographic and clinical follow-up report |
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