Aneurysmatic coronary artery disease : Presentation of a case and review the literature

La enfermedad aneurismática coronaria o ectasias y dilataciones de segmentos coronarios, son hallazgos típicamente incidentales en los estudios angiográficos. Aunque no está claramente establecida la etiología, muchas series describen como factor más común la aterosclerosis coronaria, pero también un desorden congénito, secundario a infl amación o enfermedad del tejido conectivo. Es bien estudiada su asociación con enfermedad de Kawasaki. Se revisa el caso de un paciente con síndrome coronario agudo (SCA) y dilataciones aneurismáticas en arterias coronarias, su enfoque diagnóstico y terapéutico.38-41Coronary artery aneurysms or ectasias are dilatations of arterial segments, which are typically incidentally identifi ed at angiography. Although the etiology isn ́t clearly established, several large clinical series described that the most common etiologic factor for coronary aneurysms is atherosclerotic coronary artery disease, but they can also be congenital or secondary to infl ammatory or connective tissue disorders. A well-known association with Kawasaki disease is also studied. We review the case of a patient with acute coronary syndrome (ACS) and aneurysms dilations in coronary arteries, its diagnosis and therapeutic approach