| Extrinsic compression of the left coronary ostium by the pulmonary trunk: management in a case of Eisenmenger syndrome. | |
| | |
MedLine Citation:
|
PMID: 20200637 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Extrinsic compression of the left main coronary artery by a massively dilated pulmonary artery in patients who have severe pulmonary hypertension can lead to significant myocardial ischemia. A 58-year-old man with a large patent ductus arteriosus and Eisenmenger syndrome presented with angina at rest and worsening heart failure of 3 months' duration. The new symptoms were recognized to be secondary to extrinsic compression of the left main coronary artery ostium by a dilated main pulmonary artery and were successfully relieved by the placement of a metallic stent in the affected segment of the left main coronary artery. Multislice computed tomographic imaging after 6 months showed stent patency and the intimate relation of the stented vessel to the dilated main pulmonary trunk. We discuss diagnostic and management issues pertaining to this uncommon clinical entity. |
| | |
Authors:
|
Kothandam Sivakumar; Maruthanayagam Rajan; Gnanapragasam Francis; Krishnaswami Murali; Velayudhan Bashi |
Related Documents
:
|
3234407 - Detection of left coronary artery stenosis by transoesophageal echocardiography. 2966677 - Coronary angioplasty at the time of initial diagnostic coronary angiography in patients... 8427117 - Increased production of thromboxane a2 by coronary arteries after thrombolysis. 6831677 - Aneurysm of the left aortic sinus causing acute myocardial infarction. 12654607 - Value of magnetic resonance imaging for the noninvasive detection of stenosis in corona... 18031927 - Radiculopathy due to iatrogenic fistula between subclavian artery and internal jugular ... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 37 ISSN: 1526-6702 ISO Abbreviation: Tex Heart Inst J Publication Date: 2010 |
Date Detail:
|
Created Date: 2010-03-04 Completed Date: 2010-05-20 Revised Date: 2010-09-30 |
Medline Journal Info:
|
Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: United States |
Other Details:
|
Languages: eng Pagination: 95-8 Citation Subset: IM |
Affiliation:
|
Department of Cardiology, MIOT Hospital, Manapakkam, Chennai 600089, India. drkumarsiva@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Angina, Unstable
/
etiology Angioplasty, Transluminal, Percutaneous Coronary* / instrumentation Coronary Angiography / methods Coronary Stenosis / diagnosis, etiology, therapy* Dilatation, Pathologic Ductus Arteriosus, Patent / complications Eisenmenger Complex / complications*, therapy Heart Failure / etiology Humans Hypertension, Pulmonary / diagnosis, etiology, therapy* Male Metals Middle Aged Prosthesis Design Pulmonary Artery / pathology*, radiography Stents Tomography, X-Ray Computed Treatment Outcome Ventricular Dysfunction, Left |
| Chemical | |
Reg. No./Substance:
|
0/Metals |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Use of an Active-Fixation Coronary Sinus Lead to Implant a Biventricular Pacemaker via the Femoral V...
Next Document: Pulmonary stenosis as a predisposing factor for infective endocarditis in a patient with noonan synd...