Acta Scientific Clinical Case Reports

Case ReportVolume 2 Issue 12

Coronary Artery Aneurysm and Ectasia: A Case Report and Overview of Literature

Usman Sarwar1*, Ali Hussain2, Arslan Hashmi3, Abdullah Khawar4 and Hassan Tahir5

1Department of Cardiology, University of South Alabama, Mobile, AL, USA
2Sentara Albemarle Medical Center, NC, USA
3Maimonides Medical Center, NY, USA
4Sunny downstate University, NY, USA
5Department of Cardiology, Heart Lung Vascular Institute, University of Tennessee Medical Center, Knoxville, TN, USA

*Corresponding Author: Usman Sarwar, Department of Cardiology, University of South Alabama, Mobile, AL, USA.

Received: October 26, 2021; Published: November 10, 2021

Abstract

Coronary artery aneurysm or ectasia is a rare disease that is found incidentally in most cases but can lead to a number of complications, including myocardial infarction, stable angina, compression of adjacent anatomical structure, and cardiac tamponade. In this article, we discussed the case of a middle-aged male patient who presented to the hospital with chest discomfort along with EKG changes and was found to have a coronary artery aneurysm of multiple vessels that was treated with anticoagulation, and the patient did not have any recurrence of symptoms on long-term follow-up. We also briefly discussed our understanding of the etiology, diagnosis, and different management options of coronary artery aneurysm after reviewing the literature.

Keywords: Coronary Artery Aneurysm (CAA); Angiotensin-Converting Enzyme (ACE); Coronary Computed Tomography Angiography (CCTA)

Bibliography

  1. Thiene GGB. “Morgagni: De sedibus et causis morborum per anatomen indagatis [G. B. Morgagni: De sedibus et causis morborum per anatomen indagatis]”. Giornale Italiano di Cardiologia5 (1985): 558-560.
  2. Munkner T., et al. “Congenital aneurysm of the coronary artery with an arteriovenous fistula”. Acta Radiologica4 (1958): 333-340.
  3. Luo Y., et al. “Coronary Artery Aneurysm Differs from Coronary Artery Ectasia: Angiographic Characteristics and Cardiovascular Risk Factor Analysis in Patients Referred for Coronary Angiography”. Angiology 9 (2017): 823-830.
  4. Manginas A and Cokkinos DV. "Coronary artery ectasias: imaging, functional assessment and clinical implications". European Heart Journal 27 (2006): 1026.
  5. Syed M and Lesch M. "Coronary artery aneurysm: a review". Progress in Cardiovascular Diseases 40 (1997): 77.
  6. Kawsara A., et al. “Management of Coronary Artery Aneurysms”. JACC: Cardiovascular Interventions 13 (2018): 1211-1223.
  7. McCrindle BW., et al. “American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Surgery and Anesthesia; and Council on Epidemiology and Prevention. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals from the American Heart Association”. Circulation17 (2017): e927-e999.
  8. Núñez-Gil IJ., et al. “Coronary aneurysms in the acute patient: Incidence, characterization and long-term management results”. Cardiovascular Revascularization Medicine 5 (2018): 589-596.
  9. Nichols L., et al. “Coronary artery aneurysm: a review and hypothesis regarding etiology”. Archives of Pathology and Laboratory Medicine 5 (2008): 823-828.
  10. Demopoulos VP., et al. “The natural history of aneurysmal coronary artery disease". Heart 78 (1997): 136.
  11. Gulec S., et al. “Deletion polymorphism of the angiotensin I am converting enzyme gene is a potent risk factor for coronary artery ectasia". Heart 89 (2003): 213.
  12. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals from the American Heart Association (2017).
  13. Rath S., et al. “Fate of nonobstructive aneurysmatic coronary artery disease: angiographic and clinical follow-up report". American Heart Journal 109 (1985): 785.
  14. Ebina T., et al. “A case of giant coronary artery aneurysm and literature review". Journal of Cardiology 53 (2009): 293.
  15. Kruger D., et al. “Exercise-induced myocardial ischemia in isolated coronary artery ectasias and aneurysms (“dilated coronopathy”)". Journal of the American College of Cardiology 34 (1999): 1461.
  16. Abou Sherif S., et al. “Coronary Artery Aneurysms: A Review of the Epidemiology, Pathophysiology, Diagnosis, and Treatment”. Frontiers in Cardiovascular Medicine 4 (2017): 24.
  17. Ramirez FD., et al. “Natural history and management of aortocoronary saphenous vein graft aneurysms: a systematic review of published cases". Circulation 126 (2012): 2248.
  18. Manginas A and Cokkinos DV. "Coronary artery ectasias: imaging, functional assessment and clinical implications". European Heart Journal 27 (2006): 1026.
  19. Gulec S., et al. “Deletion polymorphism of the angiotensin I am converting enzyme gene is a potent risk factor for coronary artery ectasia". Heart 89 (2003): 213.
  20. McCrindle BW., et al. “Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association". Circulation 135 (2017): e927.
  21. Ipek G., et al. “Risk factors and outcomes in patients with ectatic infarct-related artery who underwent primary percutaneous coronary intervention after ST elevated myocardial infarction". Catheterization and Cardiovascular Interventions 88 (2016): 748.
  22. Iannopollo G., et al. “Patient outcomes with STEMI caused by aneurysmal coronary artery disease and treated with primary PCI". Journal of the American College of Cardiology 69 (2017): 3006.
  23. Joo HJ., et al. “Clinical outcomes of patients with coronary artery aneurysm after the first-generation drug-eluting stent implantation”. Catheterization and Cardiovascular Interventions3 (2018): E235-E245.
  24. Singh SK., et al. “Surgical Treatment for Coronary Artery Aneurysm: A Single-Centre Experience”. Interactive Cardio Vascular and Thoracic Surgery4 (2013): 632-636.
  25. Izumi K., et al. “Surgical repair for a coronary-pulmonary artery fistula with a saccular aneurysm of the coronary artery". Annals of Thoracic and Cardiovascular Surgery 15 (2009): 194.
  26. Krüger D., et al. “Exercise-induced myocardial ischemia in isolated coronary artery ectasias and aneurysms ("dilated coronopathy")”. Journal of the American College of Cardiology5 (1999): 1461-1470.
  27. Gulec S., et al. “Angiographic assessment of myocardial perfusion in patients with isolated coronary artery ectasia”. The American Journal of Cardiology8 (2003): 996-999.
  28. Doi T., et al. “Coronary Artery Ectasia Predicts Future Cardiac Events in Patients with Acute Myocardial Infarction”. Arteriosclerosis, Thrombosis, and Vascular Biology12 (2017): 2350-2355.
  29. Sugahara Y., et al. “Warfarin therapy for giant aneurysm prevents myocardial infarction in Kawasaki disease”. Pediatric Cardiology2 (2008): 398-401.
  30. Almegbel Maysan Mohammed and Fawaz Qabel Almutairi. “Coronary Artery Ectasia with Acute Myocardial Infarction, A Case Report”. Journal of the Saudi Heart Association2 (2020): 336-339.

Citation: Usman Sarwar., et al. “Coronary Artery Aneurysm and Ectasia: A Case Report and Overview of Literature". Acta Scientific Clinical Case Reports 2.12 (2021): 03-06.

Copyright: © 2021 Usman Sarwar., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.