Fractional Flow Reserve in the Diagnosis of Ischemic Heart Disease in a Patient with Coronary Artery Ectasia

Diagnostics

Slawomir Dobrzycki¹  Malgorzata Zalewska-Adamiec¹  Lukasz Kuzma¹  Hanna Bachorzewska-Gajewska¹ 

[1] Department of Invasive Cardiology, Medical University of Bialystok, 15276 Bialystok, Poland;

关键词: coronary artery ectasia;    coronary artery disease;    coronary artery aneurysm;    fractional flow reserve;    coronarography;   

DOI  :  10.3390/diagnostics12010017

来源: DOAJ

【 摘 要 】

Coronary artery ectasias (CAE) are diffuse dilatations of coronary artery segments with a diameter 1.5 times greater than the largest adjacent normal segment of the vessel. They are found in 0.3–5.0% of coronary angiography. Risk factors for CAE include atherosclerosis, previous percutaneous coronary interventions, arterial inflammation and connective tissue diseases. The diagnosis of CEA in a patient is a considerable diagnostic and therapeutic problem due to the unfavorable prognosis and the lack of guidelines. We present a case of a 69-year-old male patient with a history of retrosternal pain admitted to the clinic for the diagnosis of coronary artery disease. In coronary angiography, numerous ectases of the main coronary arteries and atherosclerotic lesions causing border stenosis of the left anterior descending (LAD), diagonal (2D) and marginal branch (OM). The heart team decided to assess the significance of the changes with the fractional flow reserve (FFR). The FFR was performed and haemodynamically insignificant stenoses of the ectatically dilated coronary arteries were found. The patient was qualified for conservative treatment.

【 授权许可】

Unknown