Coronary artery aneurysm: Difference between revisions
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Revision as of 15:41, 4 September 2012
| Coronary artery aneurysm | |
| ICD-10 | I25.4 |
|---|---|
| ICD-9 | 414.11 |
| MeSH | D003323 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Coronary artery aneurysm is an abnormal dilatation of part of the coronary artery.
Diagnosis
It is often found coincidentally on coronary angiography.[1]
Causes
Causes include atherosclerosis,[2] Kawasaki disease[3] and coronary catheterization as well as vasculitides and collagen vascular diseases.
Prognosis
It has a good prognosis.[1]
Definition
A localized arterial widening (dilatation) that usually manifests itself as a bulge. Its presence may lead to weakening of the wall and eventual rupture.
Grade 0
None – no ectasia present.
Grade 1
Ectasia – visual assessment of ectasia >1 & < 1.5 times the normal artery diameter located anywhere in the culprit artery.
Grade 2
Aneurysm – visual assessment of an aneurysm > 1.5 times the normal artery diameter located anywhere in the culprit artery.
- NOTE: An aneurysm can be further classified as either saccular (wider than it is long) or fusiform (elongated).
References
- ↑ 1.0 1.1 Pahlavan PS, Niroomand F (2006). "Coronary artery aneurysm: a review". Clin Cardiol. 29 (10): 439–43. PMID 17063947. Unknown parameter
|month=ignored (help) - ↑ Nichols L, Lagana S, Parwani A (2008). "Coronary artery aneurysm: a review and hypothesis regarding etiology". Arch. Pathol. Lab. Med. 132 (5): 823–8. PMID 18466032. Unknown parameter
|month=ignored (help) - ↑ Fukazawa R, Ikegam E, Watanabe M; et al. (2007). "Coronary artery aneurysm induced by Kawasaki disease in children show features typical senescence". Circ. J. 71 (5): 709–15. PMID 17456996. Unknown parameter
|month=ignored (help)