title: Idiopathic mediastinal fibrosis with involvement of the pulmonary vessels and left main coronary artery.
abstract: Idiopathic mediastinal fibrosis (IMF) is an uncommon clinical condition and the manifestations of this disease vary from a relatively benign disorder with minor symptoms to severe pulmonary vascular occlusion leading to mortality, commonly presenting a diagnostic and therapeutic challenge. Here, we present the case of a Taiwanese woman with obstruction of the left pulmonary veins and artery and stenosis of the left main coronary artery (LMCA) resulting from IMF. To our knowledge, this is the first reported case of IMF successfully treated with percutaneous balloon angioplasty with stent placement for the LMCA stenosis.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Lotung Poh-Ai Hospital, Yilan, Taiwan.
authors.forename: Shu-Hsuan
authors.initials: SH
authors.lastname: Chang
authors.forename: Chia-Wen
authors.initials: CW
authors.lastname: Shih
authors.forename: Meng-Huan
authors.initials: MH
authors.lastname: Lei
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects; D023903:Coronary Restenosis / Q000209:etiology / Q000628:therapy; D023921:Coronary Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D017548:Echocardiography, Transesophageal; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000628:therapy; D006801:Humans; D008480:Mediastinitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008875:Middle Aged; D011668:Pulmonary Veno-Occlusive Disease / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012598:Sclerosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome