Top

Gepubliceerd in:

01-05-2007 | multiple case report

Coronary tortuosity: a long and winding road

Auteurs: E. S. Zegers, B. T. J. Meursing, E. B. Zegers, A. J. M. Oude Ophuis

Gepubliceerd in: Netherlands Heart Journal | Uitgave 5/2007

Abstract

Coronary tortuosity is a phenomenon often encountered by cardiologists performing coronary angiography. The aetiology and clinical importance of coronary tortuosity are still unclear. Coronary tortuosity without fixed atherosclerotic stenosis in patients with angina pectoris and an abnormal exercise stress test has never been described in the literature.

This article describes three cases of patients with anginal complaints, an abnormal exercise stress test and coronary angiography without the presence of a fixed atherosclerotic lesion. It is hypothesised that coronary tortuosity leads to flow alteration resulting in a reduction in coronary pressure distal to the tortuous segment of the coronary artery, subsequently leading to ischaemia. Future studies will be necessary to elucidate the actual mechanism of coronary tortuosity and its clinical significance. (Neth Heart J 2007;15:191-5.)

vorige artikel Familial screening and genetic counselling in hypertrophic cardiomyopathy: the Rotterdam experience

volgende artikel Percutaneous closure of an adult patent ductus arteriosus

Stein PD, Hamid MS, Shivkumar K, Davis TP, Khaja F, Henry JW. Effects of cyclic flexion of coronary arteries on progression of atherosclerosis. Am J Cardiol 1994;73:431-7.

Jakob M, Spasojevic D, Krogmann ON, Wiher H, Hug R, Hess OM. Tortuosity of coronary arteries in chronic pressure and volume overload. Cath Cardiovasc Diagn 1996;38:25-31.

Hutchins GM, Bulkley BH, Miner MM, Boitnott JK. Correlation of age and heart weight with tortuosity and caliber of normal human coronary arteries. Am Heart J 1977;94:196-202.

Ertugrul A. Diffuse tortuosity and lengthening of the arteries. Circulation 1967;36:400-7.

Smedby O, Bergstrand L. Tortuosity and atherosclerosis in the femoral artery: What is cause and what is effect? Ann Biomed Eng 1996;24:474-80.

Leipzig TJ, Dohrmann GJ. The tortuosity or kinked carotid artery: pathogenesis and clinical considerations. Surg Neurol 1986;25: 478-86.

Del Corso L, Moruzzo D, Conte B, Agelli M, Romanelli AM, Pastine F, et al. Tortuosity, kinking, and coiling of the carotid artery: expression of atherosclerosis or aging? Angiology 1998;49: 361-71.

Meyer WW, Henschel E. Untersuchungen über die schlängelung und sklerose der milzarterie. Virchows Arch Path Anat 1958;331: 396-416.

Borley NR, McFarlane JM, Ellis H. A comparative study of the tortuosity of the splenic artery. Clin Anat 1995;8:219-21.

Tischendorf F von. Zum problem der milzarterie. Anat Anz Bd 1973;134:108-19.

Soikkonen K, Wolf J, Hietanen J, Mattila K. Three main arteries of the face and their tortuosity. Br J Oral Maxillofac Surg 1991; 29:395-8.

Smith DO, Tajima N, Oura C, Toshimori K. Digital artery tortuosity and elasticity: a biomechanical study. J Reconstr Microsurg 1991;7:105-8.

Brinkman AM, Baker PB, Newman WP, Vigorito R, Friedman MH. Variability of human coronary artery geometry: an angiographic study of the left anterior descending arteries of 30 autopsy hearts. Ann Biomed Eng 1994;22:34-44.

Dobrin PB, Schwarcz TH, Baker WH. Mechanism of arterial and aneurysmal tortuosity. Surgery 1988;104:568-71.

Malinovsky L, D’Andrea V, Cavallotti C, Bartolo M, Todini A, Malinovska V. A contribution to the morphology of tortuosity of arteries, aneurysms and arteriomegaly. Cor Vasa 1992;34:434-42.

Pletcher BA, Fox JE, Boxer RA, Singh S, Blumenthal D, Cohen T, et al. Four sibs with arterial tortuosity: description and review of the literature. Am J Med Genet 1996;66:121-8.

Weibel J, Fields WS. Tortuosity, coiling, and kinking of the internal carotid artery: etiology and radiographic anatomy. Neurology 1965;15:7-18.

Friedman MH, Deters OJ, Mark FF, Bargeron CB, Hutchins GM. Arterial geometry affects hemodynamics. Atherosclerosis 1983;46: 225-31.

Wenn CM, Newman DL. Arterial tortuosity. Australas Phys Eng Sci Med 1990;2:67-70.

Motomiya M, Karino T. Flow patterns in the human carotid artery bifurcation. Stroke 1984;15:50-6.

Middleton WD, Foley WD, Lawson TL. Flow reversal in the normal carotid bifurcation: color Doppler flow imaging analysis. Radiology 1988;167:207-10.

Fry DL. Acute vascular endothelial changes associated with increased blood velocity gradients. Circ Res 1968;22:165-97.

Caro CG, Fitz-Gerald JM, Schroter RC. Atheroma and arterial wall shear; observation, correlation and proposal of a shear dependent mass transfer mechanism for atherogenesis. Proc R Soc Lond B Biol Sci 1971;177:109-59.

Sabbah HN, Khaja F, Hawkins ET, Brymer JF, McFarland TM, van der Bel-Kahn J, et al. Relation of atherosclerosis to arterial wall shear in the left anterior descending coronary artery of man. Am Heart J 1986;112:453-58.

Rouse H, editor. Fluid mechanics for hydraulic engineers, chapter XII Flow in closed conduits. New York: Dover Publications, 1961.

Gijsen FJ, Allanic E, van de Vosse FN, Janssen JD. The influence of the non-Newtonian properties of blood on the flow in large arteries: unsteady flow in a 90 degrees curved tube. J Biomech 1999;32:705-13.

Nippert H. Uber den Strömungsverlust in gekrümmten kanälen. Forsch Arb a.d. Geb d. Ingenieurswesens 1929;320.

Caro CG, Pedley TJ, Schroter RC, Seed WA. The mechanics of the circulation. Oxford: Oxford University Press, 1978:322-43.

Crea F, Lanza GA. Angina pectoris and normal coronary arteries: cardiac syndrome X. Heart 2004;90:457-63.

Meeder JG, Blanksma PK, Crijns HJ, Pruim AJ, Brouwer J, de Jong RM, et al. Mechanisms of angina pectoris in syndrome X assessed by myocardial perfusion dynamics and heart rate variability. Eur Heart J 1995;16:1571-7.

Titel: Coronary tortuosity: a long and winding road
Auteurs: E. S. Zegers
B. T. J. Meursing
E. B. Zegers
A. J. M. Oude Ophuis
Publicatiedatum: 01-05-2007
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Netherlands Heart Journal / Uitgave 5/2007
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI: https://doi.org/10.1007/BF03085979

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 5/2007

Percutaneous closure of an adult patent ductus arteriosus

Should more hospitals in the Netherlands provide PCI without on-site cardiac surgery?

Troponin T elevation and prognosis after multivessel compared with single-vessel elective percutaneous coronary intervention

Emergency cardiac surgery after a failed percutaneous coronary intervention in an interventional centre without on-site cardiac surgery

Familial screening and genetic counselling in hypertrophic cardiomyopathy: the Rotterdam experience