Document Detail


Coronary artery ectasia due to microfistulae.
MedLine Citation:
PMID:  22641984     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The pathogenesis of coronary artery ectasia (CAE) is not fully understood and associated with a vast group of disorders. We present a rare case of CAE of the left coronary artery associated with microfistulae. Microfistulae bypass myocardial capillaries and decrease the distal blood flow. The coronary artery responds to this coronary steal phenomenon with a compensatory dilatation, causing diffuse ectasia to catch up for the considerable decrease in coronary diastolic perfusion pressure. Although segmental dilatation is frequently seen in association with hypertension, one should think of microfistulae as an underlying cause of diffuse coronary ectasia.
Authors:
Jens De Cock; Patrick Coussement; Joost Delanote
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  67     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-05-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  241-3     Citation Subset:  IM    
Affiliation:
Department of Radiology, AZ St-Jan, Brugge, Belgium. Jensdecock84@gmail.com
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