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A PICTURE IS WORTH A THOUSAND WORDS
Year : 2018  |  Volume : 19  |  Issue : 1  |  Page : 32-33  

External left main compression by a dilated pulmonary artery in a female patient with atrial septal defect


Department of Cardiology, Indira Gandhi Medical College and Hospital, Shimla, Himachal Pradesh, India

Date of Web Publication10-May-2018

Correspondence Address:
Dr. Kunal Mahajan
Department of Cardiology, Indira Gandhi Medical College and Hospital, Shimla - 171 001, Himachal Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.232154

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How to cite this article:
Mahajan K, Asotra S, Negi P, Sharma R. External left main compression by a dilated pulmonary artery in a female patient with atrial septal defect. Heart Views 2018;19:32-3

How to cite this URL:
Mahajan K, Asotra S, Negi P, Sharma R. External left main compression by a dilated pulmonary artery in a female patient with atrial septal defect. Heart Views [serial online] 2018 [cited 2018 Sep 20];19:32-3. Available from: http://www.heartviews.org/text.asp?2018/19/1/32/232154



Extrinsic compression of the left main coronary artery (LMCA) by pulmonary artery trunk is rare but has been described as an important etiology of LMCA disease, especially in congenital heart disease patients. It can often be missed if coronaries are not evaluated before surgical closure and should always be kept as a cause when ASD patients present with anginal chest pain (Figures 1-4).
Figure 1: Echocardiogram showing ostium secundum type of atrial septal defect

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Figure 2: Echocardiogram demonstrating hugely dilated main pulmonary artery

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Figure 3: Coronary angiogram revealing ostial stenosis of left main coronary artery

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Figure 4: Computed tomography coronary angiogram demonstrating compression of left main by dilated pulmonary artery

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    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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