[1]汪沛志 袁晋青.冠状动脉扩张症的认识及进展[J].心血管病学进展,2021,(3):193-197.[doi:10.16806/j.cnki.issn.1004-3934.2021.03.001]
 WANG Peizhi,YUAN Jinqing.Coronary Artery Ectasia: A Current Literature Review[J].Advances in Cardiovascular Diseases,2021,(3):193-197.[doi:10.16806/j.cnki.issn.1004-3934.2021.03.001]
点击复制

冠状动脉扩张症的认识及进展()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年3期
页码:
193-197
栏目:
出版日期:
2021-03-25

文章信息/Info

Title:
Coronary Artery Ectasia: A Current Literature Review
作者:
汪沛志 袁晋青
(北京协和医学院 中国医学科学院 国家心血管病中心 阜外医院 ,北京 100037 )
Author(s):
WANG PeizhiYUAN Jinqing
(Fuwai HospitalNational Center for Cardiovascular DiseasesChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100037China)
关键词:
冠状动脉扩张症冠状动脉瘤动脉粥样硬化诊疗措施
Keywords:
Coronary artery ectasiaCoronary artery aneurysm AtherosclerosisDiagnosis and management
DOI:
10.16806/j.cnki.issn.1004-3934.2021.03.001
摘要:
冠状动脉扩张症是一种罕见的心血管系统疾病,其扩张处的管腔直径超过临近正常节段的1.5倍,该病的发病率为0.2%~5.3%。动脉粥样硬化是其最常见的病因之一。关于该病自然史尚不明确,因此冠状动脉扩张症潜在发病机制仍在进一步研究中。该病诊断的金标准是冠状动脉造影,但在其治疗方案上的争议依然不断。本综述旨在总结当前文献对于冠状动脉扩张症的认识,收集其流行病学、病因学、病理生理学、诊断方面以及治疗方法上的最新进展。
Abstract:
Coronary artery ectasia(CAE) is a uncommon cardiovascular disease that describes a localized dilatation of a coronary artery segment more than 1.5-fold compared with adjacent normal segments. The incidence of CAE varies from 0.2% to 5.3%. Atherosclerosis is the most common cause. The natural history of CAE remains unclear,so the underlying molecular mechanisms of CAE is still under further study. The gold standard of diagnosis is coronary angiography. However, controversies persist regarding the treatment of CAE. This review aims to summarize the present knowledge of CAE and collate the recent advances regarding the epidemiology,etiology,pathophysiology,diagnosis,and treatment of this disease.

参考文献/References:

[1] Swaye PS,Fisher LD,Litwin P,et al. Aneurysmal coronary artery disease[J]. Circulation,1983,67(1):134-138.

[2] Markis JE,Joffe CD,Cohn PF,et al. Clinical significance of coronary arterial ectasia[J]. Am J Cardiol,1976,37(2):217-222.

[3] Maehara A,Mintz GS,Ahmed JM,et al. An intravascular ultrasound classification of angiographic coronary artery aneurysms[J]. Am J Cardiol,2001,88(4):365-370.

[4] Mccrindle BW,Rowley AH,Newburger JW,et al. Diagnosis,treatment,and long-term management of Kawasaki disease:a scientific statement for health professionals from the American Heart Association[J]. Circulation,2017,135(17):e927-e999.

[5] Hartnell GG,Parnell BM,Pridie RB. Coronary artery ectasia. Its prevalence and clinical significance in 4 993 patients[J]. Br Heart J,1985,54(4):392-395.

[6] Sherif SA,Tok OO,Ta?k?ylü ?,et al. Coronary artery aneurysms:a review of the epidemiology,pathophysiology,diagnosis,and treatment[J]. Front Cardiovasc Med,2017,4:24.

[7] Tunick PA,Slater J,Kronzon I,et al. Discrete atherosclerotic coronary artery aneurysms:a study of 20 patients[J]. J Am Coll Cardiol,1990,15(2):279-282.

[8] Kawsara A,Nú?ez GiI IJ ,Alqahtani F,et al. Management of coronary?artery?aneurysms[J]. JACC Cardiovasc Interv,2018,11(13):1211-1223.

[9] Aboeata AS,Sontineni SP,Alla VM,et al. Coronary artery ectasia:current concepts and interventions[J]. Front Biosci(Elite Ed),2012,4:300-310.

[10] Devabhaktuni S,Mercedes A,Diep J,et al. Coronary artery ectasia—A review of current literature[J]. Curr Cardiol Rev,2016,12(4):318-323.

[11] Ozturk S,Yetkin E,Waltenberger J. Molecular and cellular insights into the pathogenesis of coronary artery ectasia[J]. Cardiovasc Pathol,2018,35:37-47.

[12] Antoniadis AP,Chatzizisis YS,Giannoglou GD. Pathogenetic mechanisms of coronary ectasia[J]. Int J Cardiol,2008,130(3):335-343.

[13] Pham V,de Hemptinne Q,Grinda JM,et al. Giant coronary aneurysms,from diagnosis to treatment:a literature review[J]. Arch Cardiovasc Dis,2020,113(1):59-69.

[14] Doi T,Kataoka Y,Noguchi T,et al. Coronary artery ectasia predicts future cardiac events in patients with acute myocardial infarction[J]. Arterioscler Thromb Vasc Biol,2017,37(12):2350-2355.

[15] Kuno T,Numasawa Y,Sugiyama K,et al. A rare case of acute myocardial infarction with multivessel coronary artery ectasia successfully treated with percutaneous coronary intervention and systemic thrombolysis[J]. Intern Med,2015,54(9):1057-1062.

[16] Ozbay Y,Akbulut M,Balin M,et al. The level of hs-CRP in coronary artery ectasia and its response to statin and angiotensin-converting enzyme inhibitor treatment[J]. Mediators Inflamm,2007,2007:89649.

[17] Tremoulet AH,Jain S,Jone PN,et al. PhaseⅠ/Ⅱa trial of atorvastatin in patients with acute Kawasaki disease with coronary artery aneurysm[J]. J Pediatr,2019,215:107-117.

[18] Wang Y,Wang Y,Yin D,et al. The beneficial effects of renin-angiotensin system blockades on 2 year outcomes in coronary artery ectasia patients[J]. Curr Med Res Opin,2017,33(9):1677-1684.

[19] Mori M,Miyamae T,Imagawa T,et al. Meta-analysis of the results of intravenous gamma globulin treatment of coronary artery lesions in Kawasaki disease[J]. Mod Rheumatol,2004,14(5):361-366.

[20] Parikh P,Banerjee K,Sammour Y,et al. Utilization and outcomes of polytetrafluoroethylene covered stents in patients with coronary artery perforation and coronary artery aneurysm:single center 15-year experience[J]. Catheter Cardiovasc Interv,2019,94(4):555-561.

[21] Shanmugam VB,Psaltis PJ,Wong DTL,et al. Outcomes after primary percutaneous coronary intervention for ST-elevation myocardial infarction caused by ectatic infarct related arteries[J]. Heart Lung Circ,2017,26(10):1059-1068.

[22] Saccà S,Pacchioni A,Nikas D. Coil embolization for distal left main aneurysm:a new approach to coronary artery aneurysm treatment[J]. Catheter Cardiovasc Interv,2012,79(6):1000-1003.

[23] Gasparini GL,Oreglia JA,Reimers B. Self-apposing stent-assisted coil embolization for the treatment of coronary artery aneurysm[J]. Catheter Cardiovasc Interv,2018,91(3):470-474.

[24] Singh SK,Goyal T,Sethi R,et al. Surgical treatment for coronary artery aneurysm:a single-centre experience[J]. Interact Cardiovasc Thorac Surg,2013,17(4):632-636.

[25] Hashiyama N,Katayama Y,Mo M,et al. Surgical repair of coronary-pulmonary artery fistulae with giant coronary aneurysm[J]. Kyobu Geka,2017,70(3):181-185.

[26] Baman TS,Cole JH,Devireddy CM,et al. Risk factors and outcomes in patients with coronary artery aneurysms[J]. Am J Cardiol,2004,93(12):1549-1551.

[27] Warisawa T,Naganuma T,Tomizawa N,et al. High prevalence of coronary artery events and non-coronary events in patients with coronary artery aneurysm in the observational group[J]. Int J Cardiol Heart Vasc,2015,10:29-31.

相似文献/References:

[1]曾祥烨 王蔚宗 周桐羽 杜晓诗 孟庆欣 李丙松 高梅.冠状动脉扩张症:非冠状动脉粥样硬化性心脏病的特殊类型[J].心血管病学进展,2024,(10):902.[doi:10.16806/j.cnki.issn.1004-3934.2024.10.008]
 ZENG Xiangye,WANG Weizong,ZHOU Tongyu,et al.Coronary Artery Ectasia:A Specialized Type of Non-Coronary Atherosclerotic Heart Disease[J].Advances in Cardiovascular Diseases,2024,(3):902.[doi:10.16806/j.cnki.issn.1004-3934.2024.10.008]

更新日期/Last Update: 2021-05-27