Left Main Coronary Artery Compression in Pulmonary Arterial Hypertension: Percutaneous Treatment to Improve Symptoms

被引：0
|
作者：
Edginton, Stefan [1 ]
D'Arsigny, Christine L. [1 ,2 ]
Mclellan, Cathy [1 ]
Archer, Stephen L. [1 ,2 ,3 ]
机构：
[1] Queens Univ, Dept Med, Kingston, ON, Canada
[2] Queens Univ, Translat Inst Med TIME, Dept Med, Queens Cardiopulm Unit QCPU, Kingston, ON, Canada
[3] Queens Univ, Dept Med, Etherington Hall,Room 3041,94 Stuart St, Kingston, ON K7L 3N6, Canada
来源：
CJC OPEN | 2021年 / 3卷 / 05期
基金：
加拿大创新基金会;
关键词：
D O I：
10.1016/j.cjco.2020.12.022
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 51-year-old woman with pulmonary arterial hypertension presented with progressive chest pain and dyspnea. Computed tomography imaging showed significant enlargement of her main pulmonary artery (PA) and was suggestive of left main coronary artery (LMCA) compression by the PA. The patient underwent percutaneous coronary intervention, which confirmed the diagnosis and a stent was deployed to the LMCA. Three months after the procedure the patient has near resolution of her symptoms. LMCA compression by an enlarged PA is an important cause of chest pain in patients with pulmonary arterial hypertension and can be managed safely and effectively with percutaneous coronary intervention and stenting.
引用
收藏
页码：690 / 692
页数：3
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