Özet:

Suleyman Demirel University TIP FACULTY JOURNAL: December 2008; 15 (4) Angiographic and clinical characteristics of coronary artery aneurysm patients: 52 patients retrospective examination and literature review Gürkan Acar*, Özkan Dede**, Yasin Turker**, Selahaddin Akçay**, Ahmet Altınbaş** Summary Purpose: Coronary artery aneurysm is a rare type of coronary artery disease. The literary knowledge of the clinical characteristics and long-term prognosis of coronary aneurysm patients is little. In this study, we aimed at examining the frequency, clinical and angiographic characteristics of coronary artery aneurystic patients. The clinic examined the clinical characteristics and angiograms of 52 patients with coronary arterial aneurysm identified angiographically between January 2000 and November 2004. Results: In 6842 patients with coronary angiography (52 percent (0.76) had coronary arterial aneurysm 39 men (75 percent) and 13 women (25 percent). The coronary artery anevrism was often detected in the left front-down artery (n=22, 42%). Hypertension (n=32,61) was a common atherosclerotic risk factor. In 34 patients (65%) was found contagious coronary artery disease accompanied by coronary artery anevrism. In our study, the frequency of coronary artery aneurysm was 0.76%. The coronary artery is found in the left front-down artery and is a risk factor that is seen in these patients with hypertension. The coronary artery anevrism is often found in the association of contagious coronary artery disease. Abstract Angiographic and clinical characteristics of patients with coronary artery aneurysm: A retrospective analysis of 54 patients and review of the literature Aim: Coronary artery aneurysm (CAA) is a rare type of coronary artery disease. There is a lack of literature data about the clinical characteristics and long-term prognosis of patients with CAA. In this study; we aimed to investigate the frequency, angiographic and clinical characteristics of patients with CAA. Methods: Clinical characteristics and coronary angiograms of 52 patients who were diagnosed as having CAA between January 2000 and November 2004 were investigated. Results: Total 6842 patients underwent coronary angiography and fifty two of them 39 male (75%), 13 female (25%) were diagnosed as having CAA (0.76%). CAA was mostly seen in left anterior descending artery (n=22, 42%). Hypertension was the most frequent therosclerotic risk factor (n=32, 61%). Stenotic coronary artery disease accompanying the CAA was present in 34 (65%) patients. Conclusions: In our study, the frequency of CAA was 0.76. Hypertension was the most frequent risk factor and left previous descending was the most common site of aneurysm. Furthermore, the presence of stenotic coronary artery disease with CAA was common. Key words: coronary artery aneurysm, atherosclerosis risk factors, angiography

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