Increased prevalence of varicocele in patients with coronary artery ectasia

Yetkın, Ertan; Kılıç, Süleyman; Açıkgöz, Nusret; Ergin, Huseyin Ekin; Aksoy, Yüksel; Sıncer, İsa; Aktürk, Erdal; Beytur, Ali; Sivri, Nasır; Turhan, Hasan

doi:10.1097/00019501-200508000-00001

Cited by 58 publications

(50 citation statements)

References 31 publications

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“…8 Varicose veins and varicocele (dilatation of the pampiniform plexus) are significantly higher in CAE, suggesting the possible existence of a generalized defect of the vascular wall. 29,30 …”

Section: Clinical Presentations and Diagnosismentioning

confidence: 99%

Coronary artery aneurysm: A review

Pahlavan

Niroomand

2006

Clinical Cardiology

186

201

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Summary: Coronary artery ectasia (CAE) is found in 0.3-5% of patients undergoing coronary angiography. Atherosclerosis is the main cause, followed by Kawasaki disease and infectious emboli. The exact pathogenesis has not been diagnosed as yet, but an inflammatory process is underlying. Symptoms, if present, are usually related to myocardial ischemia. Angiography is the mainstay for diagnosis. The prognosis is generally favorable. Thromboembolic complications are rare with antiplatelet therapy, and spontaneous rupture generally is rare but occurs more commonly in Kawasaki disease. Management varies from antithrombotic therapy to surgical ligation. Controlling coronary heart disease risk factors sharply affects the prognosis in patients with CAE.

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Section: Clinical Presentations and Diagnosismentioning

confidence: 99%

Coronary artery aneurysm: A review

Pahlavan

Niroomand

2006

Clinical Cardiology

186

201

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“…3 Varicoceles are associated with other vas� cular pathologies. 4 Kılıç and colleagues also reported that peripheral varicose veins share a pathological mechanism with varicocele. 5 Mean platelet volume (MPV) is a parameter provided by the automatic blood count device during a routine blood count, but clinicians do not usually pay it much attention.…”

Section: Introductionmentioning

confidence: 96%

Does varicocele correction lead to normalization of preoperatively elevated mean platelet volume levels?

Çoban

Ibrahim

Bıyık

et al. 2015

CUAJ

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Introduction: There are several studies on the relationship between increased mean platelet volume (MPV) and varicocele. �e inves� �e inves� tigated the relationship between preoperative and 6�month post� operative MPV values in patients whose varicocele was corrected with surgery. Methods: A total of 282 patients underwent surgery at our urology clinic between December 2011 and December 2013 for primary varicocele. �e retrospectively examined the records of 61 patients who came to the 6�month postoperative follow�up. The preop� erative varicocele diagnosis was made with physical examination findings and supported with colour Doppler ultrasonography. Results: The varicocele was grade I in 12 patients, grade II in 34 patients and grade III in 11 patients. �hen the preoperative and 6�month postoperative haemoglobin (Hb), MPV, mean corpuscular volume, platelet, and platelet distribution width (PD�) values were compared, there was a significant decrease in MPV (p = 0.019), and a significant increase in Hb (p < 0.001). A noticeable increase was also present in PD�, but it was not statistically significant (p = 0.058). Conclusion: �e found that MPV increased in patients with varic� ocele and tended to decrease again after the varicocele was sur� gically corrected. However, we feel larger prospective series are needed.

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“…Likewise, close association has been reported between varicocele and peripheral varicose veins. 2 Furthermore, high prevalence of varicose vein 3 or varicocele 4 has been reported in patients with coronary artery ectasia suggesting common vascular wall pathology. 5 Given the nature of pelvic venous reflux, peripheral varicose vein and haemorrhoids, a systematic approach also needs to be taken into consideration in future studies…”

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confidence: 99%