A case of a giant pulmonary artery aneurysm due to an atrial septal defect with left main coronary artery occlusion

Author(s):  
Takuma Mikami ◽  
Syuichi Naraoka ◽  
Akiyoshi Hashimoto ◽  
Hirosato Doi ◽  
Keitaro Nakanishi ◽  
...  
Author(s):  
Pérez-Asensio Ana ◽  
Maneiro Melón Nicolás Manuel ◽  
Nuche Berenguer Jorge ◽  
Huertas Nieto Sergio ◽  
Escribano Subías Pilar ◽  
...  

2012 ◽  
Vol 15 (3) ◽  
pp. 158 ◽  
Author(s):  
Mehmet U. Ergenoglu ◽  
Halit Yerebakan ◽  
Ergun Demirsoy

We report the case of an adult referred to our center with an initial diagnosis of stenosis of the left main coronary artery (LMCA). A preoperative investigation disclosed an atrial septal defect (ASD) with pulmonary artery hypertension. The angiographic studies confirmed the diagnosis and showed external compression of the LMCA by an enlarged pulmonary artery. Surgical closure of the ASD and tricuspid valve ring annuloplasty with coronary artery bypass surgery (left internal mammary artery to left anterior descending artery) were undertaken. Six months after the surgery, the patient is doing well.


2016 ◽  
Vol 25 (3) ◽  
pp. 216-218 ◽  
Author(s):  
Marialisa Nesta ◽  
Federico Cammertoni ◽  
Stefano Mangini ◽  
Christian Colizzi ◽  
Piergiorgio Bruno ◽  
...  

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.


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