Coronary conduit ectasia speaks to a type of atherosclerotic coronary course sickness found in 3-8 % of patients going through coronary angiography We meant to utilize homocysteine level for ahead of schedule and simple location of coronary vein ectasia to improve the dreariness and mortality in patients with coronary supply route ectasia Subjects and strategies: patients were partitioned into two gatherings: gathering (1) 50 patients with detached CAE and gathering (2) 50 patients with typical coronary corridors. All subjects were oppressed Echocardiography and CRP and Plasma Homocysteine levels. Results : The echocardiographic proof of LVH was altogether higher in bunch 1 and there was no critical contrast between the two gatherings with respect to LVEDD, LVESD and LVEF the methods for Homocysteine and CRP were fundamentally higher in gathering (1) while no huge distinction between the two gatherings in regards to the serum creatinine level.With significance of huge positive connection between's number of ectatic fragments and Homocysteine level.Conclusion: Our discoveries recommend that hyperhomocysteinemia may assume a significant part in early analysis of coronary vein ectasia.