Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29564347
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29564347
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Glob+Cardiol+Sci+Pract
2017 ; 2017
(3
): e201726
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Aneurysmal coronary artery disease: An overview
#MMPMID29564347
ElGuindy MS
; ElGuindy AM
Glob Cardiol Sci Pract
2017[Oct]; 2017
(3
): e201726
PMID29564347
show ga
Aneurysmal coronary artery disease (ACAD) comprises both coronary artery
aneurysms (CAA) and coronary artery ectasia (CAE). The reported prevalence of
ACAD varies widely from 0.2 to 10%, with male predominance and a predilection for
the right coronary artery (RCA). Atherosclerosis is the commonest cause of ACAD
in adults, while Kawasaki disease is the commonest cause in children and
adolescents, as well as in the Far East. Most patients are asymptomatic, but when
symptoms do exist, they are usually related to myocardial ischemia. Coronary
angiography is the mainstay of diagnosis, but follow up is best achieved using
noninvasive imaging that does not involve exposure to radiation. The optimal
management strategy in patients with ACAD remains controversial. Medical therapy
is indicated for the vast majority of patients and includes antiplatelets and/or
anticoagulants. Covered stents effectively limit further expansion of the
affected coronary segments. Surgical ligation, resection, and coronary artery
bypass grafting are appropriate for large lesions and for associated obstructive
coronary artery disease.