A rare case of LMCA stenosis treated by percutaneous coronary intervention (PCI) in setting of patent ductus arteriosus with dilated pulmonary trunk

Sushant Wattal, Abdul U.K. Razak, Sudhakar Rao Mugula, Ranjan Kediyoor Shetty, Padmakumar Ramachandran

Research output: Contribution to journalArticle

Abstract

Extrinsic compression of the Left Main Coronary Artery (LMCA) by a dilated pulmonary artery is a rare but a treatable cause of angina in patients with Pulmonary Artery Hypertension (PAH). In majority of these patients, angina is attributed to right ventricular or left ventricular demand ischemia and in the absence of cardiovascular risk factors for atherosclerosis, they rarely undergo a coronary angiogram. So this rare diagnosis may be missed in such patients and optimal management delayed. In this case report we describe a patient of PAH secondary to Patent Ductus Arteriosus (PDA), presenting with heart failure and complaining of persistent angina, due to extrinsic compression of the ostial LMCA by the dilated pulmonary artery, treated successfully by Percutaneous Coronary Intervention (PCI). This case reminds us that in all patients of pulmonary hypertension presenting with angina and left ventricular dysfunction, this rare but treatable cause should be identified by coronary angiography and treated with PCI.

Original languageEnglish
Pages (from-to)MD03-MD04
JournalJournal of Clinical and Diagnostic Research
Volume11
Issue number11
DOIs
Publication statusPublished - 01-11-2017

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Patent Ductus Arteriosus
Angiography
Coronary Stenosis
Percutaneous Coronary Intervention
Pulmonary Artery
Lung
Pulmonary Hypertension
Coronary Vessels
Left Ventricular Dysfunction
Coronary Angiography
Atherosclerosis
Ischemia
Heart Failure

All Science Journal Classification (ASJC) codes

  • Clinical Biochemistry

Cite this

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abstract = "Extrinsic compression of the Left Main Coronary Artery (LMCA) by a dilated pulmonary artery is a rare but a treatable cause of angina in patients with Pulmonary Artery Hypertension (PAH). In majority of these patients, angina is attributed to right ventricular or left ventricular demand ischemia and in the absence of cardiovascular risk factors for atherosclerosis, they rarely undergo a coronary angiogram. So this rare diagnosis may be missed in such patients and optimal management delayed. In this case report we describe a patient of PAH secondary to Patent Ductus Arteriosus (PDA), presenting with heart failure and complaining of persistent angina, due to extrinsic compression of the ostial LMCA by the dilated pulmonary artery, treated successfully by Percutaneous Coronary Intervention (PCI). This case reminds us that in all patients of pulmonary hypertension presenting with angina and left ventricular dysfunction, this rare but treatable cause should be identified by coronary angiography and treated with PCI.",
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A rare case of LMCA stenosis treated by percutaneous coronary intervention (PCI) in setting of patent ductus arteriosus with dilated pulmonary trunk. / Wattal, Sushant; Razak, Abdul U.K.; Mugula, Sudhakar Rao; Shetty, Ranjan Kediyoor; Ramachandran, Padmakumar.

In: Journal of Clinical and Diagnostic Research, Vol. 11, No. 11, 01.11.2017, p. MD03-MD04.

Research output: Contribution to journalArticle

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