Extrinsic Compression of Left Main Coronary Artery by the Pulmonary Trunk Secondary to Pulmonary Hypertension Documented Using 64-slice Multidetector Computed Tomography Coronary Angiography

Overview

Journal Clin Cardiol

Specialty Cardiology & Vascular Diseases

Date 2009 Aug 18

PMID 19685513

Citations 10

Authors

Morteza Safi

Vahid Eslami

Abbas Arjmand Shabestari

Habib Saadat

Mohammad Hasan Namazi

Hosein Vakili

Mohammad Reza Movahed

Affiliations

Soon will be listed here.

Abstract

Compression of left main coronary artery (LMCA) secondary to pulmonary trunk dilatation is a newly recognized entity that has been associated with severe pulmonary hypertension. In this paper we present a case of extrinsic compression of LMCA caused by dilated pulmonary trunk secondary to pulmonary hypertension documented using 64-slice multidetector computed tomography (MDCT) coronary angiography. This case is followed by a review of the literature.

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References

Fujiwara K, Naito Y, Higashiue S, Takagaki Y, Goto Y, Okamoto M . Left main coronary trunk compression by dilated main pulmonary artery in atrial septal defect. Report of three cases. J Thorac Cardiovasc Surg. 1992; 104(2):449-52. View

Kothari S, Chatterjee S, Sharma S, Rajani M, Wasir H . Left main coronary artery compression by dilated main pulmonary artery in atrial septal defect. Indian Heart J. 1994; 46(4):165-7. View

Ngaage D, Lapeyre A, McGregor C . Left main coronary artery compression in chronic thromboembolic pulmonary hypertension. Eur J Cardiothorac Surg. 2005; 27(3):512. DOI: 10.1016/j.ejcts.2004.10.060. View

Higgins J, OBrien J, Battle R, Tischler M . Left main coronary artery compression in patent ductus arteriosus. Am Heart J. 1993; 125(1):236-9. DOI: 10.1016/0002-8703(93)90081-j. View

DAlonzo G, Barst R, Ayres S, Bergofsky E, Brundage B, Detre K . Survival in patients with primary pulmonary hypertension. Results from a national prospective registry. Ann Intern Med. 1991; 115(5):343-9. DOI: 10.7326/0003-4819-115-5-343. View

Kajita L, Martinez E, Ambrose J, Lemos P, Esteves A, Nogueira da Gama M . Extrinsic compression of the left main coronary artery by a dilated pulmonary artery: clinical, angiographic, and hemodynamic determinants. Catheter Cardiovasc Interv. 2001; 52(1):49-54. DOI: 10.1002/1522-726x(200101)52:1<49::aid-ccd1012>3.0.co;2-0. View

Bijl M, Bronzwaer J, van Rossum A, Verheugt F . Angina pectoris due to left main coronary artery compression in Eisenmenger ductus arteriosus. Am Heart J. 1993; 125(6):1767-71. DOI: 10.1016/0002-8703(93)90771-z. View

Lindsey J, Brilakis E, Banerjee S . Acute coronary syndrome due to extrinsic compression of the left main coronary artery in a patient with severe pulmonary hypertension: successful treatment with percutaneous coronary intervention. Cardiovasc Revasc Med. 2008; 9(1):47-51. DOI: 10.1016/j.carrev.2007.07.003. View

VIAR W, Harrison T . Chest pain in association with pulmonary hypertension; its similarity to the pain of coronary disease. Circulation. 1952; 5(1):1-11. DOI: 10.1161/01.cir.5.1.1. View

10.

Kawut S, Silvestry F, Ferrari V, DeNofrio D, Axel L, Loh E . Extrinsic compression of the left main coronary artery by the pulmonary artery in patients with long-standing pulmonary hypertension. Am J Cardiol. 1999; 83(6):984-6, A10. DOI: 10.1016/s0002-9149(98)01046-7. View

11.

Conley M, Ely R, Kisslo J, Lee K, McNeer J, Rosati R . The prognostic spectrum of left main stenosis. Circulation. 1978; 57(5):947-52. DOI: 10.1161/01.cir.57.5.947. View

12.

Rich S, McLaughlin V, ONeill W . Stenting to reverse left ventricular ischemia due to left main coronary artery compression in primary pulmonary hypertension. Chest. 2001; 120(4):1412-5. DOI: 10.1378/chest.120.4.1412. View