Compression of the trunk of the left coronary artery by the dilated pulmonary artery

Authors

  • Adrián Lescano Servicio de Cardiología. Sanatorio Finochietto. Buenos Aires. Argentina
  • Matías Sztejfman Servicio de Hemodinamia. Sanatorio Finochietto. Buenos Aires. Argentina
  • Héctor Gómez-Santamaría Servicio de Cardiología. Sanatorio Finochietto. Buenos Aires. Argentina
  • Miguel González Unidad Coronaria. Sanatorio Finochietto. Buenos Aires. Argentina
  • Hugo Grancelli Servicio de Cardiología. Sanatorio Finochietto. Buenos Aires. Argentina

DOI:

https://doi.org/10.37615/retic.n3a5

Keywords:

left main coronary artery external compression, pulmonary hypertension.

Abstract

Left main coronary artery compression by a dilated pulmonary artery is a poorly considered complication in patients with pulmonary hypertension. It can be linked to angina and sudden death. We describe the diagnosis in a woman that was treated with angiographic and intravascular ultrasound-guided coronary stenting.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Corday E, Gold H, Kaplan L. Coronary artery compression: An explanation for the cause of coronary insufficiency in pulmonary hypertension. Trans Am Coll Cardiol 1957; 7: 93-103.

Bhoil R, Sood S, Bhoil S, et al. Extrinsic compression of left main coronary artery due to dilated pulmonary trunk resulting in ischaemic symptoms. Acute Cardiac Care 2016; 18: 1-2. DOI: https://doi.org/10.1080/17482941.2016.1234053

Demerouti E, Manginas A, Petrou E, et al. Cardiac Dual-source Computed Tomography for the Detection of Left Main Compression Syndrome in Patients with Pulmonary Hypertension. Open Cardiovasc Med J 2016; 10: 130-137. DOI: https://doi.org/10.2174/1874192401610010130

Screening of Mechanical Complications of Dilated Pulmonary Artery Related to the Risk for Sudden Cardiac Death in Patients with Pulmonary Arterial Hypertension by Transthoracic Echocardiography. J Am Soc Echocardiogr 2016; 29 (6): 561-566. DOI: https://doi.org/10.1016/j.echo.2016.02.002

Lee SE, An HY, Im JH, et al. Extrinsic compression of the left coronary ostium by the pulmonary trunk: Management in a case of Eisenmenger syndrome. Tex Heart Inst J 2010; 37 (1): 95-98.

Caldera AE, Cruz-Gonzalez I, Bezerra HG, et al. Endovascular therapy for left main compression syndrome. Case report and literature review. Chest 2009; 135 (6): 1.648-1.650. DOI: https://doi.org/10.1378/chest.08-2922

Rich S, McLaughlin VV, O’Neill W. Stenting to reverse left ventricular ischemia due to left main coronary artery compression in primary pulmonary hypertension. Chest 2001; 120 (4): 1.412-1.415. DOI: https://doi.org/10.1378/chest.120.4.1412

Chaikriangkrai K, Polsani V, Wei L, et al. Stenting of a left main coronary artery compressed by a dilated main pulmonary artery. Catheter Cardiovasc Interv 2013; 82 (5): E684-687. DOI: https://doi.org/10.1002/ccd.25093

Ogiso M, Serizawa N, Kamishima K, et al. Percutaneous coronary intervention for left main compression syndrome due to severe idiopathic pulmonary arterial hypertension: One year follow-up using intravascular imaging. Intern Med 2015; 54 (7): 801-804. DOI: https://doi.org/10.2169/internalmedicine.54.3528

Published

2016-12-31

How to Cite

1.
Lescano A, Sztejfman M, Gómez-Santamaría H, González M, Grancelli H. Compression of the trunk of the left coronary artery by the dilated pulmonary artery. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2016 Dec. 31 [cited 2024 Jul. 3];(3):19-24. Available from: https://imagenretic.org/RevEcocarPract/article/view/509