1887
  1. Home
  2. A-Z Publications
  3. Journal of Emergency Medicine, Trauma and Acute Care
  4. Volume 2023, Issue 4
  5. Article
Volume 2023, Issue 4
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Pulmonary hypertension (PH) is characterized by remodeling of the pulmonary blood vessels, resulting in structural and functional changes. While dyspnea and angina are common symptoms associated with the disease, rarely do they might stem from atypical factors like compression of the coronary arteries. Hence, it is crucial to consider anatomical imaging studies when assessing these patients. Treatment decisions depend on several factors, including disease severity and concurrent medical conditions. In this case report, we present a patient with both PH and a sizable pulmonary artery (PAA), which significantly compressed the left main coronary artery (LMCA). Conservative management was pursued, leading to a successful outcome. The occurrence of angina due to PAA in PH patients, although rare, underscores the importance of conducting a comprehensive evaluation for an accurate diagnosis.

© 2023 Monserrath, Jacobo, Benjamín, Rodrigo, licensee HBKU Press.
Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2023.37
2023-10-19
2024-10-13
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2023/4/jemtac.2023.37.html?itemId=/content/journals/10.5339/jemtac.2023.37&mimeType=html&fmt=ahah

References

  1. Kreibich M, Siepe M, Kroll J, Höhn R, Grohmann J, Beyersdorf F. Aneurysms of the pulmonary artery. Circulation. 2015; 131:(3):310−6. doi: 10.1161/CIRCULATIONAHA.114.012907.
     [Google Scholar]
  2. Park HS, Chamarthy MR, Lamus D, Saboo SS, Sutphin PD, Kalva SP. Pulmonary artery aneurysms: diagnosis & endovascular therapy. Cardiovasc Diagn Ther. 2018; 8:(3):350−61. doi: 10.21037/cdt.2018.04.01.
     [Google Scholar]
  3. Jurado-Romàn A, Hernàndez-Hernàndez F, Ruíz-Cano MJ, Velàzquez-Martín MT, Medina JM, Pérez-López I, et al. Compression of the left main coronary artery by a giant pulmonary artery aneurysm. Circulation. 2013; 127:(12):1340−1. doi: 10.1161/CIRCULATIONAHA.112.152199.
     [Google Scholar]
  4. Wang Yb, Chen Gw, Pu H, Li H. A case of giant main pulmonary artery aneurysm associated with complicated congenital heart disease and simultaneous chronic pulmonary artery dissection. J Cardiothorac Surg. 2020;15:87. https://doi.org/10.1186/s13019-020-01139-6
     [Google Scholar]
  5. Galiè N, Saia F, Palazzini M. Left main coronary artery compression in patients with pulmonary arterial hypertension and angina. J Am Coll Cardiol. 2017;69:2808−17. http://dx.doi.org/10.1016/j.jacc.2017.03.597
     [Google Scholar]
  6. Nuche J, Montero Cabezas J-M, López-Guarch CJ, Martin MV, Charterina SA, Ostolaza YR, et al. Frequency, predictors and prognostic impact of pulmonary artery aneurysms in patientswith pulmonary arterial hypertension. Am J Cardiol. 2019; 123:(3):474−81. http://dx.doi.org/10.1016/j.amjcard.2018.10.028
     [Google Scholar]
  7. Zyłkowska J, Kurzyna M, Florczyk M. Pulmonary artery dilatationcorrelates with the risk of unexpected death in chronic arterial orthromboembolic pulmonary hypertension. Chest. 2012;142:1406−16. http://dx.doi.org/10.1378/chest.11-2794
     [Google Scholar]
/content/journals/10.5339/jemtac.2023.37
Loading
Unstable angina due to extrinsic coronary compression secondary to a gigantic pulmonary artery aneurysm: An uncommon etiology
Journal of Emergency Medicine, Trauma and Acute Care 2023, 37 (2023); https://doi.org/10.5339/jemtac.2023.37
/content/journals/10.5339/jemtac.2023.37
/content/journals/10.5339/jemtac.2023.37
Loading

Data & Media loading...

Keyword(s): acute coronary syndrome, case report, extrinsic coronary compression, giant aneurysm, pulmonary hypertension and unstable angina

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error