Aneurysmal coronary artery disease.
P S Swaye,Lloyd D. Fisher,P Litwin,P A Vignola,Melvin P. Judkins,H G Kemp,J G Mudd,Arthur J. Gosselin +7 more
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TLDR
It is suggested that aneurysmal coronary disease does not represent a distinct clinical entity but is, rather, a variant of coronary atherosclerosis.Abstract:Â
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.read more
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Lumen diameter of normal human coronary arteries. Influence of age, sex, anatomic variation, and left ventricular hypertrophy or dilation.
TL;DR: Lumen diameter was not affected by age or by vessel tortuosity but was significantly increased among men with left ventricular hypertrophy or dilated cardiomyopathy, and should be of particular value in the investigation of diffuse atherosclerotic disease.
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Pathophysiology and epidemiology of abdominal aortic aneurysms
TL;DR: In many countries, centralization of vascular surgical services has largely been driven by the improved outcomes of elective aneurysm surgery in specialized centers, the widespread adoption of endovascular techniques, and the introduction of screening programs.
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Coronary artery aneurysm: A review
Mushabbar Syed,Michael Lesch +1 more
TL;DR: The authors recommend surgery based on the severity of associated coronary stenosis rather than the mere presence of aneurysm, and consists of antiplatelet and anticoagulant medication.
Journal ArticleDOI
Coronary artery ectasia. Its prevalence and clinical significance in 4993 patients.
TL;DR: To assess the clinical significance of coronary artery ectasia 4993 consecutive coronary arteriograms were reviewed to identify patients with this condition and to allow the assessment of their progress.
Journal ArticleDOI
The natural history of aneurysmal coronary artery disease.
V. P. Demopoulos,Christopher D. Olympios,C. N. Fakiolas,E. G. Pissimissis,N. M. Economides,Evdokia N. Adamopoulou,Stefanos G. Foussas,Dennis V. Cokkinos +7 more
TL;DR: Although there is a measurable incidence of previous myocardial infarction, patients with pure ectasia have a good prognosis and the wisdom of giving oral anticoagulants to such patients is questioned.
References
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Harold Sandler,Harold T. Dodge +1 more
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Aneurysms of the coronary artery. Report of ten cases and review of literature.
TL;DR: Aneurysms of the coronary artery are probably not as rare as the previously low number of case reports might have indicated and represented 1.4 per cent of the autopsies at Albany Medical Center Hospital during the period of study.
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Coronary artery aneurysms: study of the etiology, clinical course and effect on left ventricular function and prognosis.
Benjamin Befeler,Juan M. Aranda,Abraham Embi,Francis L. Mullin,Nabil El-Sherif,Ralph Lazzara +5 more
TL;DR: It is suggested that angina pectoris and left ventricular dysfunction can occur with coronary artery aneurysm without coronary artery obstructions, and this process may involve other vascular territories.
Journal ArticleDOI
Coronary artery ectasia--a variant of occlusive coronary arteriosclerosis.
TL;DR: In a study of 1000 consecutive coronary arteriograms, 12 patients (all men) had coronary artery ectasia, and Histology from an ectatic segment in one of this group showed changes of severe arteriosclerosis with extensive intimal fibrosis and destruction of the media.