Varicose Veins are Common in Patients with Coronary Artery Ectasia. Just a Coincidence or a Systemic Deficit of the Vascular Wall?

Androulakis, Aristides; Katsaros, Andreas; Kartalis, Athanasios; Stougiannos, Pavlos; Andrikopoulos, George; Triantafyllidi, Eleni; Pantazis, Antonios; Stefanadis, Christodoulos; Kallikazaros, Ioannis

doi:10.1016/j.ejvs.2004.02.023

Cited by 47 publications

(28 citation statements)

References 34 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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“…13,14 There is also evidence of an association between varicose veins and coronary artery ectasia. 15 Carotid arteries in patients with AAA exhibit mild dilation and reduced distensibility compared with controls. 12,16 …”

Section: Systemic Risk Factors In Aneurysmal Diseasementioning

confidence: 99%

Site Specificity of Aneurysmal Disease

2010

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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…”

mentioning

confidence: 99%