Left main coronary artery and aortic root compression associated with atrial septal defect and pulmonary hypertension

Abstract The extrinsic compression of left main coronary artery (LMCA) by dilated pulmonary artery is rarely reported. Various congenital and acquired diseases were shown to cause extrinsic LMCA compression. Here we present a child with aortic root and LMCA compression due to dilated pulmonary trunk...

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Bibliographic Details
Published in:International journal of cardiology 2007-05, Vol.118 (2), p.e41-e43
Main Authors: Paç, F Ayşenur, Cağdaş, Deniz N, Ulaş, Mahmut, Ozatik, M Ali, Paç, Mustafa
Format: Article
Language:English
Subjects:
Aortic Diseases - diagnosis
Aortic Diseases - etiology
Aortic Diseases - surgery
Aortic root
Atrial septal defect
Cardiovascular
Chest Pain - etiology
Child
Compression
Coronary artery
Coronary Stenosis - diagnosis
Coronary Stenosis - etiology
Coronary Stenosis - surgery
Dyspnea - etiology
Female
Heart Septal Defects, Atrial - complications
Heart Septal Defects, Atrial - diagnosis
Heart Septal Defects, Atrial - surgery
Humans
Hypertension, Pulmonary - complications
Hypertension, Pulmonary - diagnosis
Hypertension, Pulmonary - therapy
Pulmonary Artery - surgery
Pulmonary hypertension
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Summary:Abstract The extrinsic compression of left main coronary artery (LMCA) by dilated pulmonary artery is rarely reported. Various congenital and acquired diseases were shown to cause extrinsic LMCA compression. Here we present a child with aortic root and LMCA compression due to dilated pulmonary trunk and causing angina like chest pain. The patient had also electrocardiographic evidence of myocardial ischemia. This case report will be a guide for the evaluation and surgical treatment of the patients with pulmonary hypertension and LMCA compression.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2006.12.043