Key result
Review highlights flow disturbances, imaging, and controversial prognosis in coronary artery ectasia, urging prospective studies.
Why the study?
Coronary artery ectasia involves inappropriate coronary dilatation with an unknown exact developmental mechanism and controversial prognosis, requiring description of associated flow disturbances and imaging modalities.
This review highlights the need for prospective studies to determine the optimal management and prognosis of coronary artery ectasia.
Answers are grounded in this paper and cite their sources.
May warrant aortic imaging in coronary ectasia; leaves open impact on outcomes.
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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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.
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