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July 20, 2026European Heart Journal183 citationsOpen Access

Coronary artery ectasias: imaging, functional assessment and clinical implications

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AMAthanassios ManginasDCDennis V. Cokkinos

Key Result

This review describes the flow disturbances, imaging modalities, and controversial prognosis associated with coronary artery ectasia, highlighting the need for prospective management studies.

Key Points

  • This review aims to summarize the characteristics, imaging techniques, and potential complications associated with coronary artery ectasias.
  • Described imaging modalities for diagnosis and follow-up of coronary artery ectasias.
  • Examined associated flow disturbances and abnormal vessel wall metabolism.
  • Highlighted the need for prospective studies on treatment strategies.
  • Identified a common coexistence with aneurysms, particularly aortic.
  • Discussed the contentious prognosis of coronary ectasias; more data required.
  • Noted the necessity for studies on both conservative and invasive preventive strategies.

Structured PICO

P
Population
Patients with coronary artery ectasia

This review highlights the need for prospective studies to determine the optimal management and prognosis of coronary artery ectasia.

Abstract

Coronary artery ectasia is a relatively common entity characterized by inappropriate dilatation of the coronary vasculature. The exact mechanism of its development is unknown, but evidence suggests a combination of genetic predisposition, common risk factors for coronary artery disease and abnormal vessel wall metabolism. It frequently coexists with aneurysms elsewhere, mostly involving the aorta. In this review, the flow disturbances that are associated with this condition and the imaging modalities, which can be used for diagnosis and prospective follow-up are described. The prognosis of coronary ectasias is controversial and prospective studies focusing on conservative or invasive strategies to prevent cardiac complications are needed.

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Cite This Study

Manginas et al. (2006) conducted a review in Coronary artery ectasia. This review describes the flow disturbances, imaging modalities, and controversial prognosis associated with coronary artery ectasia, highlighting the need for prospective management studies.

synapsesocial.com/papers/6a5e3c681624e02c1e39f541https://doi.org/10.1093/eurheartj/ehi725
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  1. 1Polyarteritis Nodosa of Infancy1971 · 47 citations
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  3. 3Angioplasty of stenoses adjacent to aneurysmal coronary artery disease.1990 · 12 citations
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  5. 5New stent design for autologous venous graft–covered stent preparation: First human application for sealing of a coronary aneurysm2002 · 19 citations