Şeref ALPSOY, Aydın AKYÜZ, Dursun Çayan AKKOYUN, Ertan ŞAHİN

Distal Sol Ön İnen Koroner Arter Anevrizmasının Neden Olduğu Egzersiz Uyumlu Miyokart İskemisi

Koroner arterin anormal genişlemesini ifade eden koroner arter ektazi veya anevrizması anjiyografi yapılan hastalarda %3-8 oranında görülür. Asemptomatik olabildiği gibi, efor anjinası, kararsız anjina ve miyokart infarktüsüne yol açabilir. Sol ön inen koroner arter distalinde anevrizması ve stabil göğüs ağrısı olan bir olguyu sunmayı amaçladık.

Anahtar Kelimeler:

Koroner anerizma, ektazi, iskemi, miyokart

Exercise-Induced Myocardial Ischemia Due to Left Anterior Descending Coronary Artery Distal Aneurysm

Abnormal dilation of coronary artery is called coronary artery aneurysm or ectasia. Its frequency has been found in 3-8% in patients undergoing coronary angiography. Although most of the patients are asymptomatic, some cases may have effort angina, unstable angina and myocardial infarction. We purposed to a case with stable angina pectoris who have left anterior descending coronary artery distal aneurysm.

Keywords:

Aneurysm coronary, ectasia, ischemia, myocardium,

PDF

___

1. Díaz-Zamudio M, Bacilio-Pérez U, Herrera-Zarza MC, Meave-González A, Alexanderson-Rosas E, Zambrana-Balta GF, et al. Coronary artery aneurysms and ectasia: role of coronary CT angiography. Radiographics 2009;29:1939-54.
2. Mavrogeni S. Coronary artery ectasia: from diagnosis to treatment. Hellenic J Cardiol 2010;51:158-63.
3. Pahlavan PS, Niroomand F. Coronary artery aneurysm: a review. Clin Cardiol 2006;29:439-43.
4. Demopoulos VP, Olympios CD, Fakiolas CN, Pissimissis EG, Economides NM, Adamopoulou E, et al. The natural history of aneurysmal coronary artery disease. Heart 1997;78:136-41.
5. Hartnell GG, Parnell BM, Pridie RB. Coronary artery ectasia, its prevalence and clinical significance in 4993 patients. Br Heart J 1985;54:392-5.
6. Yip HK, Chen MC, Wu CJ, Hang CL, Hsieh KY, Fang CY, et al. Clinical features and outcome of coronary artery aneurysm in patients with acute myocardial infarction undergoing a primary percutaneous coronary intervention. Cardiology 2002;98:132-40.
7. Aboeata AS, Sontineni SP, Alla VM, Esterbrooks DJ. Coronary artery ectasia: current concepts and interventions. Front Biosci (Elite Ed) 2012;4:300-10.
8. Markis JE, Joffe CD, Cohn PF, Feen DJ, Herman MV, Gorlin R. Clinical significance of coronary arterial ectasia. Am J Cardiol 1976;37:217-22.
9. Demopoulos VP, Olympios CD, Fakiolas CN, Pissimissis EG, Economides NM, Adamopoulou E, et al. The natural history of aneurysmal coronary artery disease. Heart 1997;78:136-41.
10. LaMotte LC, Mathur VS. Atherosclerotic coronary artery aneurysms: Eight-year angiographic follow-up. Tex Heart Inst J 2000;27:72-3.

ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi