TY - JOUR
T1 - Fate of nonobstructive aneurysmatic coronary artery disease
T2 - Angiographic and clinical follow-up report
AU - Rath, Shmuel
AU - Har-Zahav, Yadael
AU - Battler, Alexander
AU - Agranat, Oren
AU - Rotstein, Zeev
AU - Rabinowitz, Babeth
AU - Neufeld, Henry N.
PY - 1985/4
Y1 - 1985/4
N2 - The incidence of coronary aneurysmatic dilatation without coronary stenosis is rare, and the clinical course of such an entity is unknown. We present five adult patients, four men and one woman, with such an anatomic finding. The age range was 44 to 60 years. In four patients the aneurysmatic dilatations involved multiple coronary sites. The clinical course in all five patients was suggestive of coronary insufficiency. Despite no obstructive disease, two of the patients developed transient ischemic ECG changes accompanied by chest pain, and another two patients demonstrated ischemic exercise nuclear ventriculography response. In time, all five patients developed acute myocardial infarction and recatheterization revealed complete occlusion of a previously nonstenosed aneurysmatic vessel. More information is needed in order to guide therapy. However, prevention of thrombus formation and close follow-up is highly recommended.
AB - The incidence of coronary aneurysmatic dilatation without coronary stenosis is rare, and the clinical course of such an entity is unknown. We present five adult patients, four men and one woman, with such an anatomic finding. The age range was 44 to 60 years. In four patients the aneurysmatic dilatations involved multiple coronary sites. The clinical course in all five patients was suggestive of coronary insufficiency. Despite no obstructive disease, two of the patients developed transient ischemic ECG changes accompanied by chest pain, and another two patients demonstrated ischemic exercise nuclear ventriculography response. In time, all five patients developed acute myocardial infarction and recatheterization revealed complete occlusion of a previously nonstenosed aneurysmatic vessel. More information is needed in order to guide therapy. However, prevention of thrombus formation and close follow-up is highly recommended.
UR - https://www.scopus.com/pages/publications/0021997791
U2 - 10.1016/0002-8703(85)90639-8
DO - 10.1016/0002-8703(85)90639-8
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AN - SCOPUS:0021997791
SN - 0002-8703
VL - 109
SP - 785
EP - 791
JO - American Heart Journal
JF - American Heart Journal
IS - 4
ER -
