Faculty Opinions recommendation of Pulmonary arterial hypertension: a rare complication of primary Sjögren syndrome: report of 9 new cases and review of the literature.

Author(s):  
Jay H Ryu
Medicine ◽  
2007 ◽  
Vol 86 (5) ◽  
pp. 299-315 ◽  
Author(s):  
David Launay ◽  
Eric Hachulla ◽  
Pierre-Yves Hatron ◽  
Xavier Jais ◽  
Gérald Simonneau ◽  
...  

2013 ◽  
Vol 72 (Suppl 3) ◽  
pp. A265.2-A265
Author(s):  
B. M. Lynch ◽  
V. Sobanski ◽  
C. E. Handler ◽  
B. E. Schreiber ◽  
C. P. Denton ◽  
...  

Kardiologiia ◽  
2018 ◽  
Vol 58 (11S) ◽  
pp. 22-32 ◽  
Author(s):  
M. A. Simakova ◽  
N. V. Marukyan ◽  
K. D. Gukov ◽  
D. A. Zverev ◽  
O. M. Moiseeva

This review focuses on a rare complication of pulmonary arterial hypertension (PAH), extravasation compression of the left coronary artery (LCA) dilated by the pulmonary artery. The review described clinical manifestations and methods for diagnostics of LCA compression, and advantages of the endovascular correction of this complication in patients with pulmonary hypertension. Selection of a device to be implanted during the endovascular intervention in these patients was discussed with due account for concomitant treatment with oral anticoagulants. As an illustration of the issue under discussion, a clinical case of acute coronary syndrome in a female patient from the PAH Registry of the V. A. Almazov National Medical Research Center was provided.


2019 ◽  
Vol 12 (11) ◽  
pp. e232468
Author(s):  
Biplab Kumar Saha ◽  
Scott Beegle

Patients with pulmonary arterial hypertension (PAH) usually die from progressive right ventricular failure. Mechanical complications due to pulmonary artery (PA) enlargement are rare and include tracheobronchial and left main coronary artery compression, and PA dissection. A 62-year-old female with PAH was seen in our office for follow-up. During the evaluation, spirometry was performed, which revealed a severe obstructive ventilatory limitation. Subsequent workup identified compression of bilateral mainstem bronchi from the dilated PA as the aetiology for the abnormal spirometry. Very few cases of this rare complication have been reported in the literature. A significant dilation of the PA is necessary (>4 cm) for the occurrence of these complications. Dilation of PA is an independent risk factor for sudden unexpected death in patients with PAH.


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