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A 51-year-old female smoker with the Eisenmenger syndrome due to an untreated large ostium secundum atrial septum defect and a family history of coronary artery disease was referred to the cardiac catheterization laboratory after several prolonged episodes of chest discomfort.Coronary angiogram (Panel A) revealed a severe ostial stenosis …

Compression of the left main coronary artery by the pulmonary artery in a patient with the Eisenmenger syndrome