Coronary artery ectasia (CAE) is detected in approximately 1-5% of all coronary angiography procedures. Coronary artery dilatation is only rarely diagnosed or cannot be recognized generally. There is no consensus regarding the definition of this rare anomaly. A 75-year old female who is a hypertansive and hyperlipidemia with a history of chronic stable angina despite full medical therapy. She was admitted on intensive care unit this time because of a typical chest pain that did not alleviate

more »

... h sublingual nitroglycerin. Coronary angiography revealed mainly of the diffuse ectasia of three coronary artery and rheumatic heart valve disease. She underwent aortic and mitral replacement and a three-vessel bypass. Her postoperative course was well and she was discharged on the postoperative day 7 th . The patient is doing well on follow-up with no recurrence of symptoms.