Stenting of a Left Main Coronary Artery Compressed by a Dilated Main Pulmonary Artery
Stenting of a Left Main Coronary Artery Compressed by a Dilated Main Pulmonary Artery
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DOI：
10.1002/ccd.25093
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发表时间：
2013-11-01
影响因子：
2.3
通讯作者：
Chang, Su Min
中科院分区：
文献类型：
--
作者：
Chaikriangkrai, Kongkiat;Polsani, Venkateshwar;Chang, Su Min
左冠状动脉主干(LMCA)疾病是一种罕见的临床疾病，由扩张的主肺动脉(MPA)外压引起，但也是引起肺动脉高压患者胸痛的可逆性原因之一。传统上，LMCA的治疗包括冠状动脉搭桥术。然而，对于扩张的Mpa压迫LMCA，最近有报道称冠状动脉支架成形术效果良好，可能更适合于一些与手术相关的高风险患者。在此，我们描述了一位54岁的男性患者，他患有肺动脉高压，扩张的主肺动脉外压迫了LMCA，并接受了血管造影和血管内超声引导的冠状动脉成形术和支架置入术。此外，我们还简要回顾了目前关于膨胀型多孔板压缩LMCA的文献。(C)2013年威利期刊公司。
Left main coronary artery (LMCA) disease caused by external compression by a dilated main pulmonary artery (MPA) is an uncommon clinical entity but is one of the reversible causes of chest pain in patients with pulmonary hypertension. Traditionally, treatment of LMCA disease involves coronary artery bypass graft surgery. However, for LMCA compression by a dilated MPA, coronary angioplasty with stenting has recently been reported to have good outcomes and might be more suitable in some patients with high risk associated with surgery. Herein, we describe a 54-year-old man with pulmonary arterial hypertension and external compression of the LMCA by the dilated main pulmonary artery that was treated with angiographic and intravascular ultrasound-guided coronary angioplasty and stenting. Also we briefly review current literatures about LMCA compression by a dilated MPA. (c) 2013 Wiley Periodicals, Inc.