scholarly journals Anomalous Origin of the Left Main Coronary Artery From the Main Pulmonary Artery in a Young Adult

Circulation ◽  
2001 ◽  
Vol 104 (13) ◽  
pp. 1575-1576 ◽  
Author(s):  
Chi-Peng Lin ◽  
Yen-Po Chen ◽  
Tsai-Hsin Chen ◽  
Wen-Han Liu ◽  
Feng-Sheng Lin ◽  
...  
2010 ◽  
Vol 26 (1) ◽  
pp. 66-68 ◽  
Author(s):  
Grigorios G. Tsigkas ◽  
Georgios A. Kasimis ◽  
Vasileios Karantalis ◽  
Dimitris J. Nikas ◽  
Dimitrios K. Alexopoulos

2018 ◽  
Vol 11 (24) ◽  
pp. e203-e205
Author(s):  
Bharat Marwaha ◽  
Owais Idris ◽  
Mobasser Mahmood ◽  
Archana Gundabolu ◽  
Syed Sohail Ali ◽  
...  

2020 ◽  
Vol 13 (4) ◽  
pp. e234203
Author(s):  
Ken Nakamura ◽  
Kouan Orii ◽  
Takayuki Abe ◽  
Hirofumi Haida

Coronary aneurysm located just above the left main coronary artery (LMT) is rare and difficult to treat. How the aneurysm is accessed is very important as it determines the result of the surgery. A 70-year-old man with a large coronary aneurysm (40 mm in diameter) in the LMT underwent surgery to prevent its rupture; however, there was severe adhesion. Initially, dissection of the ascending aorta or the pulmonary artery seemed necessary to access the aneurysm; however, the process was possible with limited dissection between the ascending aorta and the pulmonary artery, and we succeeded in firmly closing the LMT site of entry.


Circulation ◽  
1998 ◽  
Vol 97 (18) ◽  
pp. 1869-1869
Author(s):  
Guy Vaksmann ◽  
Pierre Mauran ◽  
Charles Francart ◽  
Christian Rey

2017 ◽  
Vol 5 (1) ◽  
pp. 232470961668462 ◽  
Author(s):  
Venkat Gangadharan ◽  
Kamesh Sivagnanam ◽  
Ghulam Murtaza ◽  
Michael Ponders ◽  
Otto Teixeira ◽  
...  

A 36-year-old woman was seen with complaints of exertional chest pain and shortness of breath. Her medical history included atrial fibrillation and diabetes. Physical examination was unremarkable except for an irregular cardiac rhythm. Myocardial perfusion imaging revealed the presence of a large area of infarction involving the entire anterior and apical walls and part of the anteroseptal wall with minimal periinfarct ischemia. Computed tomography coronary angiogram revealed an anomalous left main coronary artery arising from the main pulmonary artery. Right and left heart catheterizations demonstrated moderate pulmonary hypertension with a slight step-up in oxygen saturation between the right ventricle and main pulmonary artery. Coronary angiography showed a large tortuous right coronary artery with collaterals to the left anterior descending artery that drained into the main pulmonary artery. She was referred for surgery. This case demonstrates a rare coronary artery anomaly in an adult where survival is dependent on collateral circulation.


2017 ◽  
Vol 7 (3) ◽  
pp. 734-740 ◽  
Author(s):  
Akihiro Hirashiki ◽  
Shiro Adachi ◽  
Yoshihisa Nakano ◽  
Yoshihiro Kamimura ◽  
Takeshi Ogo ◽  
...  

Left main coronary artery (LMCA) disease due to external compression by a dilated main pulmonary artery (MPA) is an uncommon clinical entity. Here, we describe a 52-year-old woman with pulmonary arterial hypertension (PAH) and anteroseptal old myocardial infarction (OMI). The cause of the OMI was external compression of the LMCA by the dilated MPA and aneurysm of the left coronary sinus of Valsalva. The patient’s sister (aged 56 years) had also been diagnosed with PAH and both women had a novel heterozygous splicing mutation, IVS2-2A > G (c.374-2A > G in NM_001456), in the filamin A ( FLNA) gene. To our knowledge, this is the first report of HPAH which is likely to be due to FLNA mutation and compression of the LMCA between a dilated MPA and aneurysm of the left coronary sinus of Valsalva.


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