This paper is only available as a PDF. To read, Please Download here.
Abstract
In a study group of 2,457 consecutive patients undergoing cardiac catheterization,
30 patients had coronary arterial ectasia, an irregular dilatation of major vessels
up to seven times the diameter of branch vessels. The frequency of hypertension, abnormal
electrocardiogram and history of myocardial infarction was greater than that in a
control group with obstructive coronary artery disease. Patients with ectasia did
not differ from patients with obstructive disease in sex, age, prevalence of angina
or presence of metabolic abnormalities. Six deaths occurred in the group with ectasia
during a mean follow-up period of 24 months (annual rate 15 percent). Extensive destruction
of the musculoelastic elements was evident, resulting in marked attenuation of the
vessel wall. The short-term prognosis in this group is the same as in medically treated
patients with three vessel obstructive coronary artery disease.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of CardiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Aneurysms of the coronary artery.Am J Cardiol. 1963; 11: 228-237
- Diseases of the Heart and Blood Vessels, Nomenclature and Criteria for Diagnosis.sixth edition. Little, Brown, Boston1964
- Fat transport in lipoprotein—an integrated approach to mechanisms and disorders.N Engl J Med. 1967; 276: 34-44
- Fat transport in lipoprotein—an integrated approach to mechanisms and disorders.N Engl J Med. 1967; 276: 94-103
- Fat transport in lipoprotein—an integrated approach to mechanisms and disorders.N Engl J Med. 1967; 276: 148-156
- Fat transport in lipoprotein—an integrated approach to mechanisms and disorders.N Engl J Med. 1967; 276: 273-281
- Progress study of 590 consecutive nonsurgical cases of coronary disease followed 5–9 years. I. Arteriographic correlations.Circulation. 1973; 47: 1147-1153
- De sedibus, et causis morborum per anatomen indagatis.1761 (Tomus primus, Liber II, Epist 27, Article 28, Venetiis)
- Congenital localized coronary artery aneurysm without fistula.Am Heart J. 1968; 76: 674-679
- Ectasia of the coronary arteries.Radiology. 1966; 87: 33-34
- Coronary artery ectasia in chronic cyanotic congenital heart disease.Med Ann. 1969; 38: 123-142
- Multiple aneurysms of coronary artery in sclerodermal heart disease.Angiology. 1973; 24: 86-93
- Ehlers-Danlos syndrome with multiple arterial lesions.Am J Med. 1969; 47: 967-977
- Infantile periarteritis nodosa with coronary and brachial aneurysms: a case diagnosed during life.J Pediatr. 1971; 78: 1039-1042
- Multiple coronary artery aneurysms in a child with angina pectoris.N Engl J Med. 1974; 290: 669-670
- Mycotic aneurysms of coronary arteries.Br Heart J. 1973; 35: 107-109
- Multiple aneurysms of the coronary arteries.Am Heart J. 1968; 76: 266-269
- Aneurysm of the coronary arteries.Am Heart J. 1948; 36: 403-421
- Multiple aneurysms of the coronary arteries. Demonstration by selective coronary arteriography.Ariz Med. 1973; 30: 705-708
- The heart in scleroderma.Br Heart J. 1961; 23: 243-259
Article info
Publication history
Accepted:
July 2,
1975
Footnotes
☆This study was supported by Grants HL-5679 and HL-11306 from the U. S. Public Health Service, Bethesda, Md.
Identification
Copyright
© 1976 Published by Elsevier Inc.
