Extrinsic Compression of the Left Main Coronary Artery: A Case of Atrial Septal Defect with Enlarged Pulmonary Artery

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.

2020 ◽  
Vol 75 (11) ◽  
pp. 2805
Author(s):  
Ping Lik Chua ◽  
Abd Malek Abdul Muizz ◽  
Arumuganathan Prem Nathan ◽  
Iynam Shargunandass ◽  
Lee Gary Chin Keong ◽  
...  

2019 ◽  
Vol 27 (7) ◽  
pp. 593-596
Author(s):  
Dhananjay Bansal ◽  
Mohd Javed Banday ◽  
Anubhav Gupta ◽  
Palash Aiyer ◽  
Vijay Grover ◽  
...  

Left coronary artery compression syndrome is characterized by compression of the left main coronary artery between the aorta and an enlarged main pulmonary artery. A 39-year-old woman presented with angina with dyspnea on exertion for two years. Detailed investigations revealed an atrial septal defect, valvular lesions, and severe pulmonary hypertension with left main coronary artery compression. Patch closure of the atrial septal defect, left coronary artery bypass, and valve repair was carried out. The patient recovered well and was asymptomatic on follow-up. The optimal management of such patients is yet to be clarified.


2008 ◽  
Vol 86 (6) ◽  
pp. 1987-1989 ◽  
Author(s):  
Yusuke Jo ◽  
Akio Kawamura ◽  
Masahiro Jinzaki ◽  
Takashi Kohno ◽  
Toshihisa Anzai ◽  
...  

Author(s):  
Bhagya Narayan Pandit ◽  
Munish Guleria ◽  
Ranjit Kumar Nath ◽  
Abhinav Shrivastava ◽  
Jaskaran Singh Gujral ◽  
...  

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