Coronary Artery Ectasia with Annuloaortic Ectasia.

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  • HOSHIO Akira
    First Department of Internal Medicine, Tottori University School of Medicine
  • SHIROTA Kinya
    First Department of Internal Medicine, Tottori University School of Medicine
  • DOI Tetsuya
    First Department of Internal Medicine, Tottori University School of Medicine
  • SAWADA Yoshihiro
    First Department of Internal Medicine, Tottori University School of Medicine
  • FUKUKI Masaharu
    First Department of Internal Medicine, Tottori University School of Medicine
  • KOTAKE Hiroshi
    First Department of Internal Medicine, Tottori University School of Medicine
  • MASHIBA Hiroto
    First Department of Internal Medicine, Tottori University School of Medicine
  • KASAHARA Takashi
    San-in Rosai Hospital
  • ENDO Satoshi
    San-in Rosai Hospital

抄録

A 50-year-old Japanese woman with annuloaortic ectasia was found to have total coronary artery ectasia without evident atherosclerosis. The coronary ectasia may have been secondary to or of similar etiology to the annuloaortic ectasia. There was neither stigmata of Marfan's syndrome nor any sign of dissection of the ascending aorta or coronary arteries. Furthermore, the patient was not elderly, and had no hyperlipidemia, diabetes mellitus, or history of smoking. There was a marked blood pressure difference between the arms, and linear calcification was present in the aortic wall. A stenotic lesion was present in the right mid-subclavian artery. Although it is impossible to rule out atherosclerosis as the etiology of these findings, the possibility that they may be a manifestation of Takayasu's arterits is discussed.

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