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European Heart Journal Advance Access originally published online on January 16, 2006
European Heart Journal 2006 27(9):1026-1031; doi:10.1093/eurheartj/ehi725
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Coronary artery ectasias: imaging, functional assessment and clinical implications

Athanassios Manginas* and Dennis V. Cokkinos

First Department of Cardiology, Onassis Cardiac Surgery Center, 356 Syngrou Avenue, Athens 17674, Greece

Received 22 September 2005; revised 1 December 2005; accepted 23 December 2005; online publish-ahead-of-print 16 January 2006.

* Corresponding author. Tel: +30 210 9493341; fax: +30 210 9493235. E-mail address: nassoseft{at}yahoo.com

Coronary artery ectasia is a relatively common entity characterized by inappropriate dilatation of the coronary vasculature. The exact mechanism of its development is unknown, but evidence suggests a combination of genetic predisposition, common risk factors for coronary artery disease and abnormal vessel wall metabolism. It frequently coexists with aneurysms elsewhere, mostly involving the aorta. In this review, the flow disturbances that are associated with this condition and the imaging modalities, which can be used for diagnosis and prospective follow-up are described. The prognosis of coronary ectasias is controversial and prospective studies focusing on conservative or invasive strategies to prevent cardiac complications are needed.

Key Words: Coronary artery disease • Ectasia • Aneurysm • Coronary flow


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