Coronary Artery Ectasia, its Clinical Profile and Angiographic Characteristics, Single Centre Experience

Abstract

Abstract

Objective:  To evaluate the incidence of coronary ectasia and its, its clinical profile and angiographic characteristics in our population.

Methods:  A retrospective analysis was conducted on all coronary angiograms performed at the catheterizat- ion laboratory of Ch. Pervaiz Elahi Institute of Cardiology, Multan between the period of January 2011 and December 2012. Data were collected from cathe-terization films, and medical records.

Results:  In a total of 6540 coronary angiograms were performed during the period of the study. A total of 225 (3.44%) angiograms showed coronary ectasia of both mixed and pure types. Pure ectasia with no coro-nary obstructive lesions was seen in 58 (25.77%). Type 4 was most common 95 pts. (42.22%), as per the Markis classification. Right coronary artery (RCA) was the most commonly affected vessel 162 (72%) followed by left anterior descending artery (LAD) 76 (33.78%) and 38 patients (16.88%) patients had cir-cumflex artery involvement. 132 patients (58.66%) had good left ventricular (LV) systolic function.

Conclusion:  Prevalence of Coronary ectasia in the population presenting to Ch. Pervaiz Elahi Institute of Cardiology, Multan during the study period was 3.4%. Majority of patients were males, associated with, hy-pertension and diabetes mellitus. CAE was associated with obstructive coronary artery disease in about 74.22% of cases.RCA was the most commonly affec-ted vessel.

Keywords:  Coronary artery disease, Ectasia, Aneu-rysm, coronary artery angiography.