Aneurysmal coronary disease showed no difference in 5-year medical survival compared to nonaneurysmal coronary disease, suggesting it is a variant of coronary atherosclerosis.
Cohort (n=19,959)
Does aneurysmal coronary disease have different clinical features and 5-year survival compared to nonaneurysmal coronary disease?
Aneurysmal coronary disease does not differ significantly from nonaneurysmal coronary disease in clinical features or 5-year survival, suggesting it is a variant of coronary atherosclerosis rather than a distinct entity.
To examine the clinical and historical features and the natural history of aneurysmal coronary disease, we reviewed the registry data of the Coronary Artery Surgery Study (CASS). Nine hundred seventy-eight patients, representing 4.9% of the total registry population, were identified as having aneurysmal disease. No significant differences were noted between aneurysmal and nonaneurysmal coronary disease patients when features such as hypertension, diabetes, lipid abnormalities, family history, cigarette consumption, incidence of documented myocardial infarction, presence and severity of angina, and presence of peripheral vascular disease were examined. In addition, no difference in 5-year medical survival was noted between these two groups. These findings suggest that aneurysmal coronary disease does not represent a distinct clinical entity but is, rather, a variant of coronary atherosclerosis.
Swaye et al. (Sat,) conducted a cohort in Aneurysmal coronary artery disease (n=19,959). Aneurysmal coronary disease vs. Nonaneurysmal coronary disease was evaluated on 5-year medical survival. Aneurysmal coronary disease showed no difference in 5-year medical survival compared to nonaneurysmal coronary disease, suggesting it is a variant of coronary atherosclerosis.