Stenosis of the left main coronary artery due to compression by a dilated pulmonary artery

Abstract

Compression of the left main coronary artery (LMCA) is most frequently induced by dilation of the pulmonary artery during pulmonary hypertension (PH). We report the case of a female patient with pulmonary arterial hypertension (PAH) with a clinical picture of acute coronary syndrome.

Selective coronarography (SCG) was performed in the patient, which found tight LMCA stenosis due to compression by a dilated coronary artery. LMCA stenosis was treated by implanting a drug stent.

Keywords

• tribe left coronary artery
• pulmonary arterial hypertension
• compression