Abstract 197: Coronary Aneurysm and Ectasia In Adults

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Abstract

Background: We investigate the status of coronary aneurysm or ectasia in adults.

Methods: We retrospectively reviewed all coronary angiograms and coronary computed tomography angiograms (CT) performed at Hanyang University Hospital between January 2011 and August 2014.

Results: Coronary angiography was performed in 4383 patients. Coronary CT was performed in 4099 patients. Coronary aneurysm or ectasia was detected in 28 patients (0.63%) on coronary angiography and in 21 patients (0.51%) on coronary CT angiography. Mean age of patient with coronary aneurysm or ectasia on angiography or coronary CT is 60.5(SD 14.7) or 58.0(SD 11.2). Mean age of patient without coronary aneurysm or ectasia on angiography or coronary CT is 63.2(SD 12.7) or 57.2(SD 12.0).

For 28 patients with coronary aneurysm or ectasia on coronary angiography, male and female ratio was 16:12. Age was for 57.6(SD 11.9) for male and 64.5(SD 17.6) for female. For 21 patients with coronary aneurysm or ectasia on CT angiography, male and female ratio was 14:7. Age was for 53.9(SD 8.3) for male and 66.1(SD 13.4) for female. The age gap between male and female was increased for patients with coronary aneurysm or ectasia on both studies. These suggest adult with coronary aneurysm or ectasia might have Kawasaki disease in young age.

Conclusions: The mean age of male patients with coronary aneurysm or ectasia was lower than that of female patients without coronary aneurysm or ectasia. This indicates adult with coronary aneurysm or ectasia might have Kawasaki disease in young age.

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