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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Main Authors: Pil-Sang Song, Sang-Hoon Seol, Guang-Won Seo, Dong-Kie Kim, Ki-Hun Kim, Doo-Il Kim, Hang-Jea Jang, Seong-Ho Kim
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:IHJ Cardiovascular Case Reports
Subjects:
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.
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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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AT dongkiekim leftmaincoronaryarterycompressionbyadilatedpulmonaryartery
AT kihunkim leftmaincoronaryarterycompressionbyadilatedpulmonaryartery
AT dooilkim leftmaincoronaryarterycompressionbyadilatedpulmonaryartery
AT hangjeajang leftmaincoronaryarterycompressionbyadilatedpulmonaryartery
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