Article

Extrinsic compression of the left main coronary artery: a case of atrial septal defect with enlarged pulmonary artery.

Department of Cardiovascular Surgery, Yeditepe University Hospital, Istanbul, Turkey.
Heart Surgery Forum (impact factor: 0.63). 06/2012; 15(3):E158-60. DOI:10.1532/HSF98.20111144 pp.E158-60
Source: PubMed

ABSTRACT We report the case of an adult referred to our center with an initial diagnosis of stenosis of the left main coronary artery (LMCA). A preoperative investigation disclosed an atrial septal defect (ASD) with pulmonary artery hypertension. The angiographic studies confirmed the diagnosis and showed external compression of the LMCA by an enlarged pulmonary artery. Surgical closure of the ASD and tricuspid valve ring annuloplasty with coronary artery bypass surgery (left internal mammary artery to left anterior descending artery) were undertaken. Six months after the surgery, the patient is doing well.

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Keywords

angiographic studies
 
coronary artery bypass surgery
 
enlarged pulmonary artery
 
external compression
 
left main coronary artery
 
preoperative investigation
 
pulmonary artery hypertension
 
Surgical closure
 
tricuspid valve ring annuloplasty
 

Mehmet U Ergenoglu