Open AccessLeft main artery compression by pulmonary artery aneurysm and ostial athero-stenosis of left anterior descending artery in a young female with pulmonary arterial hypertension
Author(s) -
Marcin Demkow,
Łukasz Kalińczuk,
Cezary Kępka,
Marcin Kurzyna,
Adam Torbicki
Publication year - 2012
Publication title -
european heart journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.336
H-Index - 293
eISSN - 1522-9645
pISSN - 0195-668X
DOI - 10.1093/eurheartj/ehs195
Subject(s) - medicine , cardiology , left pulmonary artery , chest pain , pulmonary artery , stenosis , radiology , artery
A 29-year-old patient (♀) with idiopathic pulmonary arterial hypertension (PAH, WHO functional class IV) treated with sildenafil, treprostinil, and nifedipine suddenly developed recurrent chest pain at rest, accompanied by an acute inversion of T-waves in V3–V6 and a troponin I increase of up to 1.9 ng/mL. Progressive pulmonary trunk dilatation was observed in all her previous echocardiography examinations. Multi-detector computer tomography scan (128 row dual source SOMATOM Definition, Siemens, Forchheim, Germany) revealed huge (∼70 mm) aneurysmal …