Left main coronary artery compression by a dilated pulmonary artery
Pulmonary artery hypertension is often associated with chest pain. The etiology of chest pain has been reported as the dilatation of the pulmonary artery or right ventricular hypertrophy and ischemia. However, extrinsic left main coronary artery (LMCA) compression by pulmonary artery enlargement is...
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Format: | Article |
Language: | English |
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Elsevier
2017-01-01
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Series: | IHJ Cardiovascular Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2468600X1630041X |
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author | Pil-Sang Song Sang-Hoon Seol Guang-Won Seo Dong-Kie Kim Ki-Hun Kim Doo-Il Kim Hang-Jea Jang Seong-Ho Kim |
author_facet | Pil-Sang Song Sang-Hoon Seol Guang-Won Seo Dong-Kie Kim Ki-Hun Kim Doo-Il Kim Hang-Jea Jang Seong-Ho Kim |
author_sort | Pil-Sang Song |
collection | DOAJ |
description | Pulmonary artery hypertension is often associated with chest pain. The etiology of chest pain has been reported as the dilatation of the pulmonary artery or right ventricular hypertrophy and ischemia. However, extrinsic left main coronary artery (LMCA) compression by pulmonary artery enlargement is another important cause of chest pain. The incidence of LMCA compression by dilated pulmonary artery is not well known. However, the clinical presentations sometimes might be cardiogenic shock and malignant arrhythmia due to myocardial ischemia and sudden death. The optimal management for pulmonary hypertension patients with extrinsic LMCA compression has not been clearly established. Here, we described a case of patient presenting extrinsic compression of the LMCA with severe pulmonary artery hypertension, who was treated with stent implantation. |
first_indexed | 2024-12-18T10:56:44Z |
format | Article |
id | doaj.art-2989c0e0824445b99636cba5933db46e |
institution | Directory Open Access Journal |
issn | 2468-600X |
language | English |
last_indexed | 2024-12-18T10:56:44Z |
publishDate | 2017-01-01 |
publisher | Elsevier |
record_format | Article |
series | IHJ Cardiovascular Case Reports |
spelling | doaj.art-2989c0e0824445b99636cba5933db46e2022-12-21T21:10:18ZengElsevierIHJ Cardiovascular Case Reports2468-600X2017-01-01112426Left main coronary artery compression by a dilated pulmonary arteryPil-Sang Song0Sang-Hoon Seol1Guang-Won Seo2Dong-Kie Kim3Ki-Hun Kim4Doo-Il Kim5Hang-Jea Jang6Seong-Ho Kim7Department of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaCorresponding author at: Department of Medicine, Inje University College of Medicine, Haundae Paik Hospital, 1435 Jwa-dong, Haeundae-gu, Busan 612-030, Republic of Korea.; Department of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaDepartment of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaDepartment of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaDepartment of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaDepartment of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaDepartment of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaDepartment of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of KoreaPulmonary artery hypertension is often associated with chest pain. The etiology of chest pain has been reported as the dilatation of the pulmonary artery or right ventricular hypertrophy and ischemia. However, extrinsic left main coronary artery (LMCA) compression by pulmonary artery enlargement is another important cause of chest pain. The incidence of LMCA compression by dilated pulmonary artery is not well known. However, the clinical presentations sometimes might be cardiogenic shock and malignant arrhythmia due to myocardial ischemia and sudden death. The optimal management for pulmonary hypertension patients with extrinsic LMCA compression has not been clearly established. Here, we described a case of patient presenting extrinsic compression of the LMCA with severe pulmonary artery hypertension, who was treated with stent implantation.http://www.sciencedirect.com/science/article/pii/S2468600X1630041XPulmonary hypertensionLeft main coronary arteryStent |
spellingShingle | Pil-Sang Song Sang-Hoon Seol Guang-Won Seo Dong-Kie Kim Ki-Hun Kim Doo-Il Kim Hang-Jea Jang Seong-Ho Kim Left main coronary artery compression by a dilated pulmonary artery IHJ Cardiovascular Case Reports Pulmonary hypertension Left main coronary artery Stent |
title | Left main coronary artery compression by a dilated pulmonary artery |
title_full | Left main coronary artery compression by a dilated pulmonary artery |
title_fullStr | Left main coronary artery compression by a dilated pulmonary artery |
title_full_unstemmed | Left main coronary artery compression by a dilated pulmonary artery |
title_short | Left main coronary artery compression by a dilated pulmonary artery |
title_sort | left main coronary artery compression by a dilated pulmonary artery |
topic | Pulmonary hypertension Left main coronary artery Stent |
url | http://www.sciencedirect.com/science/article/pii/S2468600X1630041X |
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