ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Percutaneous Treatment of Left Main Coronary Artery Compression in a Pulmonary Artery Hypertension Patient Associated with Atrial Septal Defect [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2023; 51(3): 221-225 | DOI: 10.5543/tkda.2022.26096

Percutaneous Treatment of Left Main Coronary Artery Compression in a Pulmonary Artery Hypertension Patient Associated with Atrial Septal Defect

Muhammed Furkan Deniz, Ümit Yaşar Sinan, Ahmet Yıldız, Emir Barış Özgür Ökçün, Mehmet Serdar Küçükoğlu
İstanbul University-Cerrahpasa Institute of Cardiology, Department of Cardiology, Istanbul, Türkiye

Pulmonary arterial hypertension is still a fatal disease persisting with poor prognosis, despite all the advances in treatment (new agents and new combination strategies) in recent years. Patients present with different symptoms which are not specific to the disease (dyspnea, angina, palpitation, and syncope). Angina may occur secondary to myocardial ischemia due to increased right ventricular afterload (oxygen supply and demand mismatch) or external compression on the left main coronary artery. Left main coronary artery compression is associated with post-exercise sudden cardiac death in pulmonary arterial hypertension patients. It should be kept in mind in the differential diagnosis of angina in patients with pulmonary arterial hypertension and should be treated immediately. Here, we report a pulmonary arterial hypertension patient associated with secundum-type atrial septal defect presented with ostial left main coronary artery compression caused by an enlarged pulmonary artery and treated with intravascular ultrasound-guided percutaneous coronary intervention.

Keywords: Atrial septal defect, pulmonary arterial hypertension, LMCA compression, intravascular ultrasound, adult congenital heart disease, percutaneous coronary intervention











How to cite this article
Muhammed Furkan Deniz, Ümit Yaşar Sinan, Ahmet Yıldız, Emir Barış Özgür Ökçün, Mehmet Serdar Küçükoğlu. Percutaneous Treatment of Left Main Coronary Artery Compression in a Pulmonary Artery Hypertension Patient Associated with Atrial Septal Defect. Turk Kardiyol Dern Ars. 2023; 51(3): 221-225

Corresponding Author: Ümit Yaşar Sinan, Türkiye
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

Quick Search



Copyright © 2023 Archives of the Turkish Society of Cardiology



Kare Publishing is a subsidiary of Kare Media.