Coronary Artery Ectasia and Stenosis in a Patient with Ankylosing Spondylitis

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The ankylosing spondilitis a chronic rheumatic inflammatory disorder characterized by the involvement of vertebrae and sacroiliac joints. It may attack eyes, alimentery system, heart and kidneys extraarticulary, and it can cause cardiovasculary complications in a range of an asymptomatic course to high morbidity and mortality. Hence a timely diagnosis is of prime clinical importance. A female patient of 53 years of age applied to our hospital with angina pectoris and her medical history revealed a 16 years of follow-up due to ankylosing spondilitis in another health institution. The echocardiography established a left ventricular wall motion abnormality and a mild mitral insufficiency. In the elective coronary angiography the ectatic LAD was detected to be stenozed and a LIMA single vessel by-pass was planned for this patient. In this report, we would like to enroll our experience of coronary revascularization on an ectatic coronary artery with stenosis in an ankylosing spondylosis patient.

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Ankylosing spondylitis , coronary artery ectasia , coronary artery stenosis

Gazi Medical Journal

154

Gazi Medical Journal