ISSN 1016-5169 | E-ISSN 1308-4488
A Breathtaking Case of Pulmonary Hypertension with Frightening Complications and Intertwining Different Etiologies [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-22477 | DOI: 10.5543/tkda.2023.22477

A Breathtaking Case of Pulmonary Hypertension with Frightening Complications and Intertwining Different Etiologies

Hidayet Ozan Arabacı1, Aybike Gül Taşdelen1, İdil Buğday1, Attila Ülkücü3, Ümit Yaşar Sinan1, Bedrettin Yıldızeli2, Mehmet Serdar Küçükoğlu1
1Department of Cardiology, Istanbul University-Cerrahpasa Institute of Cardiology, İstanbul, Türkiye
2Department of Thoracic Surgery, Marmara University, Faculty of Medicine, İstanbul, Türkiye
3Department of Emergency, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Türkiye

Pulmonary hypertension is a major health problem with increasing awareness. Although most common cause of PH is left heart disease (group 2 PH), life-threatening complications occur mostly in groups 1 (pulmonary arterial hypertension) and group 4 (chronic thromboembolic pulmonary hypertension) patients. However, external compression of left main coronary artery (LMCA) due to pulmonary artery dilatation is rare, but it is a life-threatening complication since it causes myocardial ischemia and sudden cardiac death. In addition, pulmonary hypertension is more than a single clinical entity, it has a complex mechanism in which more than one subgroup may develop over time in the same patient. This complex mechanism challenges us when diagnosing the patient and faces us with life-threatening complications.
In this case; we report a PAH patient applied to our clinic with progressive dyspnea and recent angina, after detection of LMCA ostial stenosis, the patient was treated with IVUS guided stent implantation. In the further follow-ups, the patient underwent the pulmonary endarterectomy operation due to the diagnosis of CTEPH secondary to newly diagnosed primary antiphospholipid syndrome.

Keywords: Pulmonary hypertension, chronic thromboembolic pulmonary hypertension, percutaneous coronary interventions, pulmonary endarterectomy

How to cite this article

Corresponding Author: Hidayet Ozan Arabacı, Türkiye
Manuscript Language: English

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