Massive Pulmonary Artery Aneurysm Causing Left Main Coronary Artery Compression in the Absence of Pulmonary Hypertension.
We report the case of a 62-year-old woman who presented with classic symptoms of stable angina. Cardiac images and catheterization results revealed absent pulmonary valve syndrome and compression of the left main coronary artery by a massively dilated pulmonary artery aneurysm. The patient's anginal symptoms were relieved after pulmonary arterioplasty. Others have described proximal left main coronary artery compression in the presence of a dilated and hypertensive pulmonary artery. To our knowledge, this is the first case in which a pulmonary artery aneurysm caused left main coronary insufficiency in the absence of pulmonary hypertension-a clinically important complication of congenital pulmonary valve-related pulmonary arteriopathy.
Doreen DeFaria
DD
Yeh
Brian
B
Ghoshhajra
Ignacio
I
Inglessis-Azuaje
Thomas
T
MacGillivray
Richard
R
Liberthson
Ami B
AB
Bhatt
D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D060050:Angina, Stable / Q000209:etiology; D017023:Coronary Angiography / Q000379:methods; D023921:Coronary Stenosis / Q000175:diagnosis / Q000209:etiology*; D004108:Dilatation, Pathologic; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Angina pectoris/etiology; coronary vessel anomalies/complications; heart defects, congenital/complications/diagnosis/radiography; heart valves/abnormalities; pulmonary artery/abnormalities/pathology/surgery; treatment outcome