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Percutaneous Treatment of Left Main Coronary Artery Compression in a Pulmonary Artery Hypertension Patient Associated with Atrial Septal Defect.
Deniz, Muhammed Furkan; Sinan, Ümit Yasar; Yildiz, Ahmet; Ökçün, Emir Baris Özgür; Küçükoglu, Mehmet Serdar.
Afiliação
  • Deniz MF; ��stanbul University-Cerrahpasa Institute of Cardiology, Department of Cardiology, Istanbul, T��rkiye.
  • Sinan ÜY; ��stanbul University-Cerrahpasa Institute of Cardiology, Department of Cardiology, Istanbul, T��rkiye.
  • Yildiz A; ��stanbul University-Cerrahpasa Institute of Cardiology, Department of Cardiology, Istanbul, T��rkiye.
  • Ökçün EBÖ; ��stanbul University-Cerrahpasa Institute of Cardiology, Department of Cardiology, Istanbul, T��rkiye.
  • Küçükoglu MS; ��stanbul University-Cerrahpasa Institute of Cardiology, Department of Cardiology, Istanbul, T��rkiye.
Turk Kardiyol Dern Ars ; 51(3): 221-225, 2023 04.
Article em En | MEDLINE | ID: mdl-36999326
Pulmonary arterial hypertension is still a fatal disease persisting with poor prognosis, despite all the advances in treatment (new agents and new combination strategies) in recent years. Patients present with different symptoms which are not specific to the disease (dyspnea, angina, palpitation, and syncope). Angina may occur secondary to myocardial ischemia due to increased right ventricular after load (oxygen supply and demand mismatch) or external compression on the left main coronary artery. Left main coronary artery compression is associated with post-exercise sudden cardiac death in pulmonary arterial hypertension patients. It should be kept in mind in the differential diagnosis of angina in patients with pulmonary arterial hypertension and should be treated immediately. Here, we report a pulmonary arterial hypertension patient associated with secundum-type atrial septal defect presented with ostial left main coronary artery compression caused by an enlarged pulmonary artery and treated with intravascular ultrasound-guided percutaneous coronary intervention.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hipertensão Arterial Pulmonar / Comunicação Interatrial / Hipertensão Pulmonar Tipo de estudo: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hipertensão Arterial Pulmonar / Comunicação Interatrial / Hipertensão Pulmonar Tipo de estudo: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article