Stenosis of the trunk of the left coronary artery in idiopathic pulmonary hypertension. Case report

The manuscript presents a clinical case of treatment of a patient with idiopathic pulmonary hypertension and a rare complication left main coronary artery stenosis caused due to compression by the dilated pulmonary artery. This complication was clinically manifested by chest pain. The patient under...

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Main Authors: Sergei N. Ivanov, Alexander G. Edemskiy, Oksana Ya. Vasiltseva, Aleksandr M. Chernyavskiy, Maria V. Kalashnikova, Svetlana V. Seletskaya
Format: Article
Language:Russian
Published: ZAO "Consilium Medicum" 2023-02-01
Series:Consilium Medicum
Subjects:
Online Access:https://consilium.orscience.ru/2075-1753/article/viewFile/191376/99499
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author Sergei N. Ivanov
Alexander G. Edemskiy
Oksana Ya. Vasiltseva
Aleksandr M. Chernyavskiy
Maria V. Kalashnikova
Svetlana V. Seletskaya
author_facet Sergei N. Ivanov
Alexander G. Edemskiy
Oksana Ya. Vasiltseva
Aleksandr M. Chernyavskiy
Maria V. Kalashnikova
Svetlana V. Seletskaya
author_sort Sergei N. Ivanov
collection DOAJ
description The manuscript presents a clinical case of treatment of a patient with idiopathic pulmonary hypertension and a rare complication left main coronary artery stenosis caused due to compression by the dilated pulmonary artery. This complication was clinically manifested by chest pain. The patient underwent percutaneous coronary angioplasty with stenting of the left main coronary artery and subsequent prescription of combined PAH-specific therapy. During the late follow-up examination in addition to clinical improvement and the absence of pain, 6-minute walking test distance increase, positive dynamics of echocardiography, right heart catheterization, as well as the laboratory marker of heart failure NT-proBNP were noted.
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spelling doaj.art-70f1166f6ae449f78d76ebd076f3db012023-02-22T08:42:52ZrusZAO "Consilium Medicum"Consilium Medicum2075-17532542-21702023-02-01241287688110.26442/20751753.2022.12.2019034653Stenosis of the trunk of the left coronary artery in idiopathic pulmonary hypertension. Case reportSergei N. Ivanov0https://orcid.org/0000-0001-6439-1774Alexander G. Edemskiy1https://orcid.org/0000-0002-6661-7826Oksana Ya. Vasiltseva2https://orcid.org/0000-0002-2932-3159Aleksandr M. Chernyavskiy3https://orcid.org/0000-0001-9818-8678Maria V. Kalashnikova4Svetlana V. Seletskaya5https://orcid.org/0000-0002-1275-7807Meshalkin National Medical Research CenterMeshalkin National Medical Research CenterMeshalkin National Medical Research CenterMeshalkin National Medical Research CenterSakhalin Regional Clinical HospitalSakhalin Regional Clinical HospitalThe manuscript presents a clinical case of treatment of a patient with idiopathic pulmonary hypertension and a rare complication left main coronary artery stenosis caused due to compression by the dilated pulmonary artery. This complication was clinically manifested by chest pain. The patient underwent percutaneous coronary angioplasty with stenting of the left main coronary artery and subsequent prescription of combined PAH-specific therapy. During the late follow-up examination in addition to clinical improvement and the absence of pain, 6-minute walking test distance increase, positive dynamics of echocardiography, right heart catheterization, as well as the laboratory marker of heart failure NT-proBNP were noted.https://consilium.orscience.ru/2075-1753/article/viewFile/191376/99499pulmonary arterial hypertensionidiopathic pulmonary hypertensionstenosis of the left coronary arterytreatment of pahstenting of the left coronary artery
spellingShingle Sergei N. Ivanov
Alexander G. Edemskiy
Oksana Ya. Vasiltseva
Aleksandr M. Chernyavskiy
Maria V. Kalashnikova
Svetlana V. Seletskaya
Stenosis of the trunk of the left coronary artery in idiopathic pulmonary hypertension. Case report
Consilium Medicum
pulmonary arterial hypertension
idiopathic pulmonary hypertension
stenosis of the left coronary artery
treatment of pah
stenting of the left coronary artery
title Stenosis of the trunk of the left coronary artery in idiopathic pulmonary hypertension. Case report
title_full Stenosis of the trunk of the left coronary artery in idiopathic pulmonary hypertension. Case report
title_fullStr Stenosis of the trunk of the left coronary artery in idiopathic pulmonary hypertension. Case report
title_full_unstemmed Stenosis of the trunk of the left coronary artery in idiopathic pulmonary hypertension. Case report
title_short Stenosis of the trunk of the left coronary artery in idiopathic pulmonary hypertension. Case report
title_sort stenosis of the trunk of the left coronary artery in idiopathic pulmonary hypertension case report
topic pulmonary arterial hypertension
idiopathic pulmonary hypertension
stenosis of the left coronary artery
treatment of pah
stenting of the left coronary artery
url https://consilium.orscience.ru/2075-1753/article/viewFile/191376/99499
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