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Koroner arter anevrizmalı hastaların anjiyografik ve klinik özellikleri: 52 hastanın retrospektif incelenmesi ve literatürün gözden geçirilmesi

Angiographic and clinical characteristics of patients with coronary artery aneurysm: A retrospective analysis of 54 patients and review of the literature

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
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 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 atherosclerotic risk factor (n=32,61%). Stenotic coronary artery disease accompanying to the CAA was present in 34 (65%) patients. Conclusions: In our study, frequency of CAA was % 0.76. Hypertension was the most frequent risk factor and left anterior descending was the most common site of aneurysm. purthermore, presence of stenotic coronary artery disease with CAA was common.
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Abstract (Original Language): 
Amaç: Koroner arter anevrizması, koroner arter hastalığının nadir rastlanan bir türüdür. Koroner anevrizmalı hastaların klinik özellikleri ve uzun dönem prognozlarına dair literatür bilgisi azdır. Bu çalışmada; koroner arter anevrizmalı hastaların sıklığını, klinik ve anjiyografik özelliklerini incelemeyi amaçladık. Gereç ve Yöntem: Kliniğimizde Ocak 2000 ile Kasım 2004 tarihleri arasında anjiyografik olarak koroner arter anevrizması tespit edilen 52 hastanın klinik özellikleri ve anjiyogramları incelendi. Bulgular: Koroner anjiyografi yapılan 6842 hastanın 52'sinde (%0.76) koroner arter anevrizması vardı 39 erkek (%75), 13 kadın (%25). Koroner arter anevrizması en sık sol ön inen arterde (n=22, %42) tespit edildi. Hipertansiyon (n=32, %61) en sık görülen aterosklerotik risk faktörüydü. Koroner arter anevrizmasına eşlik eden tıkayıcı koroner arter hastalığına 34 hastada (%65) rastlandı. Sonuç: Çalışmamızda koroner arter anevrizması sıklığı %0.76 idi. Koroner arter anevrizmasına en sık sol ön inen arterde rastlanmış olup bu hastalarda hipertansiyon en sık karşılaşılan risk faktörüdür. Koroner arter anevrizması ile tıkayıcı koroner arter hastalığı birlikteliğine sık rastlanmaktadır.
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  • Turkish

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