Massive Pulmonary Artery Aneurysm Causing Left Main Coronary Artery Compression in the Absence of Pulmonary Hypertension

被引：12
|
作者：
Yeh, Doreen DeFaria [1 ]
Ghoshhajra, Brian [2 ]
Inglessis-Azuaje, Ignacio [1 ]
MacGillivray, Thomas [3 ]
Liberthson, Richard [4 ,5 ]
Bhatt, Ami B. [1 ]
机构：
[1] Massachusetts Gen Hosp, Div Cardiol, Dept Med, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Dept Radiol, Cardiac Radiol Sect, Boston, MA 02114 USA
[3] Massachusetts Gen Hosp, Cardiothorac Surg Sect, Dept Surg, Boston, MA 02114 USA
[4] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA
[5] Massachusetts Gen Hosp, Dept Pediat, Div Cardiol, Boston, MA 02114 USA
来源：
TEXAS HEART INSTITUTE JOURNAL | 2015年 / 42卷 / 05期
关键词：
Angina pectoris/etiology; coronary vessel anomalies/complications; heart defects; congenital/complications/diagnosis/radiography; heart valves/abnormalities; pulmonary artery/abnormalities/pathology/surgery; treatment outcome; TETRALOGY; FALLOT;
D O I：
10.14503/THIJ-15-5028
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report the case of a 62-year-old woman who presented with classic symptoms of stable angina. Cardiac images and catheterization results revealed absent pulmonary valve syndrome and compression of the left main coronary artery by a massively dilated pulmonary artery aneurysm. The patient's anginal symptoms were relieved after pulmonary arterioplasty. Others have described proximal left main coronary artery compression in the presence of a dilated and hypertensive pulmonary artery To our knowledge, this is the first case in which a pulmonary artery aneurysm caused left main coronary insufficiency in the absence of pulmonary hypertension a clinically important complication of congenital pulmonary valve-related pulmonary arteriopathy.
引用
收藏
页码：465 / 467
页数：3
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