A Case Report: A Successful Management of Extrinsic Compression of the Left Main Coronary Artery by a Dilated Pulmonary Artery in Patients with Pulmonary Arterial Hypertension
Kadriye Memiç Sancar1
, Ali Kemal Kalkan1, İbrahim Faruk Aktürk1, Aysel Türkvatan Cansever2, Serkan Kahraman1, Ümit Bulut1, Begüm Uygur1, Nurullah Yücel3, Tayfun Aygün4, Mustafa Yıldız5
1Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Research Hospital, İstanbul, Türkiye
2Department of Radiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Research Hospital, İstanbul, Türkiye
3Department of Anatomy, University of Health Sciences, Hamidiye International Faculty of Medicine, İstanbul, Türkiye
4Department of Anatomy, Giresun University Faculty of Medicine, Giresun, Türkiye
5Department of Cardiology, Istanbul University-Cerrahpaşa, Cardiology Institute, İstanbul, Türkiye
Keywords: Dilated pulmonary artery; left main coronary artery stenting; pulmonary arterial hypertension.
Abstract
Extrinsic compression of the left main coronary artery (LMCA) by a dilated pulmonary artery can be life threatening in pulmonary arterial hypertension patients; however, it can be treated with percutaneous coronary intervention. In this case report, we presented a successful treatment with the stenting of the LMCA stenosis associated with extrinsic compression of LMCA by a dilated pulmonary artery.
Cite This Article: Memiç Sancar K, Kalkan AK, Aktürk İF, Türkvatan Cansever A, Kahraman S, Bulut Ü, et al. A Case Report: A Successful Management of Extrinsic Compression of the Left Main Coronary Artery by a Dilated Pulmonary Artery in Patients with Pulmonary Arterial Hypertension. Koşuyolu Heart J 2024;27(1):53–56.
Video 1: Coronary angiography showing the retrograde filling of left coronary system by collaterals issued from right coronary artery.
Video 2: Coronary angiography of left main coronary artery in the right anterior oblique (RAO)/cranial view showing severe LMCA stenosis.
Video 3: Coronary angiography showing the retrograde filling of left coronary system by collaterals issued from right coronary artery
Written informed consent was obtained from the patient for the publication of the case report and the accompanying images.
Externally peer-reviewed.
Concept – N.Y., K.M.S., T.A.; Design – M.Y., K.M.S.; Supervision – M.Y., N.Y., T.A.; Funding – M.Y.; Materials – K.M.S., S.K., Ü.B.; Data collection and/or processing – K.M.S., B.U., A.T.C.; Data analysis and/ or interpretation – A.K.K., İ.F.A., M.Y.; Literature search – N.Y., T.A.; Writing – N.Y., T.A., K.M.S.; Critical review – M.Y., K.M.S.
All authors declared no conflict of interest.
Not declared.
The authors declared that this study received no financial support.