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

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...

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Detalles Bibliográficos
Autores principales: Edginton, Stefan, D’Arsigny, Christine L., McLellan, Cathy, Archer, Stephen L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8134911/
https://www.ncbi.nlm.nih.gov/pubmed/34027375
http://dx.doi.org/10.1016/j.cjco.2020.12.022
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author Edginton, Stefan
D’Arsigny, Christine L.
McLellan, Cathy
Archer, Stephen L.
author_facet Edginton, Stefan
D’Arsigny, Christine L.
McLellan, Cathy
Archer, Stephen L.
author_sort Edginton, Stefan
collection PubMed
description 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.
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spelling pubmed-81349112021-05-21 Left Main Coronary Artery Compression in Pulmonary Arterial Hypertension: Percutaneous Treatment to Improve Symptoms Edginton, Stefan D’Arsigny, Christine L. McLellan, Cathy Archer, Stephen L. CJC Open Case Report 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. Elsevier 2020-12-31 /pmc/articles/PMC8134911/ /pubmed/34027375 http://dx.doi.org/10.1016/j.cjco.2020.12.022 Text en © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Edginton, Stefan
D’Arsigny, Christine L.
McLellan, Cathy
Archer, Stephen L.
Left Main Coronary Artery Compression in Pulmonary Arterial Hypertension: Percutaneous Treatment to Improve Symptoms
title Left Main Coronary Artery Compression in Pulmonary Arterial Hypertension: Percutaneous Treatment to Improve Symptoms
title_full Left Main Coronary Artery Compression in Pulmonary Arterial Hypertension: Percutaneous Treatment to Improve Symptoms
title_fullStr Left Main Coronary Artery Compression in Pulmonary Arterial Hypertension: Percutaneous Treatment to Improve Symptoms
title_full_unstemmed Left Main Coronary Artery Compression in Pulmonary Arterial Hypertension: Percutaneous Treatment to Improve Symptoms
title_short Left Main Coronary Artery Compression in Pulmonary Arterial Hypertension: Percutaneous Treatment to Improve Symptoms
title_sort left main coronary artery compression in pulmonary arterial hypertension: percutaneous treatment to improve symptoms
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8134911/
https://www.ncbi.nlm.nih.gov/pubmed/34027375
http://dx.doi.org/10.1016/j.cjco.2020.12.022
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