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.
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http://dx.doi.org/10.1016/j.ijcard.2006.12.043 | DOI Listing |
Catheter Cardiovasc Interv
November 2024
Eskişehir City Hospital, Cardiology Clinic, Kardiyoloji Kliniği, Eskişehir Şehir Hastanesi, Eskişehir, Turkey.
Iatrogenic coronary ostial stenosis (ICOS) is a rare but life-threatening complication of aortic root surgery. It can occur with the incidence of 0.3%-5% and affect more commonly the left main coronary artery (LMCA) compared to the right coronary artery (RCA).
View Article and Find Full Text PDFCureus
June 2024
Cardiovascular Disease, Mount Sinai Hospital, New York, USA.
J Cardiol Cases
April 2024
Department of Cardiovascular Medicine, Sendai City Hospital, Japan.
Unlabelled: A man in his 70s with a history of mitral valve replacement (MVR) and long-standing persistent atrial fibrillation (AF) presented with effort angina. Coronary angiography revealed severe stenosis of the left main coronary artery (LMCA). As it was an emergent case, PCI (percutaneous coronary intervention) was selected for treatment.
View Article and Find Full Text PDFPediatr Radiol
July 2024
Division of Pediatric Cardiothoracic Surgery, Department of Surgery, Heart Institute, LeBonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN, USA.
A transseptal coronary artery course, also known as a transconal course, is an anomalous course of the left main coronary artery (LMCA) or the left anterior descending artery (LAD) through the conal septal myocardium. The conal septal myocardium is the posterior wall of the right ventricular outflow tract (RVOT), acting as a dividing myocardial wall between the subaortic and subpulmonary outflow tracts. The initial segment of a transseptal coronary artery has an extraconal course between the aorta and the RVOT cranial to the true intramyocardial segment.
View Article and Find Full Text PDFAME Case Rep
November 2023
Department of Cardiology, Augusta University Medical Center, Augusta, GA, USA.
Background: Myocardial ischemia occurs in the setting of inadequate or complete cessation of blood supply to the myocardium. While atherosclerosis is the most common cause; other causes have been identified. Rare cases can be caused by extrinsic compression of the coronaries by a dilated pulmonary artery (PA) or by mechanical obstruction from nearby chest tubes or drains.
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