title: Angina in left main coronary artery occlusion by pulmonary artery aneurysm.
abstract: A 51-year-old woman with exercise angina and a history of pulmonary artery hypertension related to a previous pulmonary thromboembolism, was referred to our hospital. Computed tomography and coronary angiography showed a 95-mm aneurysm of the main pulmonary artery, which totally occluded the left main coronary artery. After a multidisciplinary evaluation, we recommended heart-lung transplantation, but the patient refused any kind of surgical procedure. Due to the chronic occlusion, stenting of the left main coronary artery was unfeasible. With no other options available, we could only start pulmonary antihypertensive therapy. At the 1-year follow-up, the patient reported relief of her angina.
authors: Department of Cardiovascular Medicine, Division of Cardiac Surgery, Catholic University Hospital, Rome, Italy.
authors: Marialisa
authors: M
authors: Nesta
authors: Department of Cardiovascular Medicine, Division of Cardiac Surgery, Catholic University Hospital, Rome, Italy.
authors: Federico
authors: F
authors: Cammertoni
authors: Department of Cardiovascular Medicine, Division of Cardiac Surgery, Catholic University Hospital, Rome, Italy.
authors: Stefano
authors: S
authors: Mangini
authors: Department of Cardiovascular Medicine, Division of Cardiac Surgery, Catholic University Hospital, Rome, Italy.
authors: Christian
authors: C
authors: Colizzi
authors: Department of Cardiovascular Medicine, Division of Cardiac Surgery, Catholic University Hospital, Rome, Italy.
authors: Piergiorgio
authors: P
authors: Bruno
authors: Department of Cardiovascular Medicine, Division of Cardiac Surgery, Catholic University Hospital, Rome, Italy.
authors: Massimo
authors: M
authors: Massetti
mesh_terms: D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis; D000787:Angina Pectoris / Q000175:diagnosis / Q000209:etiology*; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery; D014057:Tomography, X-Ray Computed
keywords: Aneurysm; Angina pectoris; Coronary disease; Hypertension; Myocardial ischemia; Pulmonary artery; pulmonary