Percutaneous Treatment of Left Main Coronary Artery Compression in a Pulmonary Artery Hypertension Patient Associated with Atrial Septal Defect

• Published in: Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Vol. 51; no. 3; pp. 221 - 225
• Main Authors: Deniz, Muhammed Furkan, Sinan, Mit Ya Ar, Y Ld Z, Ahmet, K N, Emir Bar Zg R, K Ko Lu, Mehmet Serdar
• Format: Journal Article
• Language: English
• Published: Turkey 01.04.2023
• Subjects: Angina Pectoris - etiology; Angina Pectoris - therapy; Coronary Vessels; Heart Septal Defects, Atrial - complications; Heart Septal Defects, Atrial - diagnostic imaging; Heart Septal Defects, Atrial - surgery; Humans; Hypertension, Pulmonary - complications; Hypertension, Pulmonary - diagnosis; Pulmonary Arterial Hypertension; Pulmonary Artery
• ISSN: 1016-5169; 1308-4488
• DOI: 10.5543/tkda.2022.26096

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 di erent symptoms which are not speci c to the disease (dyspnea, angina, palpitation, and syncope). Angina may occur secondary to myocardial ischemia due to increased right ventricular afterload (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 di erential 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.