https://doi.org/10.4081/monaldi.2022.2369

Rapid progression of pulmonary artery dilatation in pulmonary hypertension

Vol. 93 No. 2 (2023)
Published: July 20, 2022
Pulmonary artery, pulmonary hypertension, percutaneous coronary intervention of the left main coronary
Abstract Views: 805
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Authors

Angelica Cersosimo
https://orcid.org/0000-0001-8463-8412
Cardiology Unit, Department of Medical and Surgical Specialities, Radiological Sciences and Public Health, University of Brescia, Italy.
Gianmarco Arabia
https://orcid.org/0000-0002-2715-2923
Cardiology Unit, Department of Medical and Surgical Specialities, Radiological Sciences and Public Health, University of Brescia, Italy.
Enrico Vizzardi
vizzardi72@gmail.com
https://orcid.org/0000-0002-3544-6104
Cardiology Unit, Department of Medical and Surgical Specialities, Radiological Sciences and Public Health, University of Brescia, Italy.
Marco Metra
https://orcid.org/0000-0001-6691-8568
Cardiology Unit, Department of Medical and Surgical Specialities, Radiological Sciences and Public Health, University of Brescia, Italy.

We report the case of a 47-year-old woman who was admitted to the cardiac department for worsening dyspnea. The last chest computed tomography (CT) showed a rapid increase in pulmonary artery dimension (65 mm in 2019, 76 mm in 2021). The symptoms reported by the patient were due to important extrinsic compression of the left main coronary artery (LMCA). In this case, it is very difficult to choose the best therapeutic strategy. In the end, we decided to treat the left main coronary for prevention. After 3 months no new clinical symptoms have developed.

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Kothari SS, Chatterjee SS, Sharma S, et al. Left main coronary artery compression by dilated main pulmonary artery in atrial septal defect. Indian Heart J 1994;46:165-7.
Mesquita SM, Castro CR, Ikari NM, et al. Likelihood of left main coronary artery compression based on pulmonary trunk diameter in patients with pulmonary hypertension. Am J Med 2004;116:369-7. DOI: https://doi.org/10.1016/j.amjmed.2003.11.015
Lee MS, Oyama J, Bhatia R, et al. Left main coronary artery compression from pulmonary artery enlargement due to pulmonary hypertension: a contemporary review and argument for percutaneous revascularization. Catheter Cardiovasc Interv 2010;76:543-50. DOI: https://doi.org/10.1002/ccd.22592
Doyen D, Moceri P, Moschietto S, et al. Left main coronary artery compression associated with primary pulmonary hypertension. J Am Coll Cardiol 2012;60:559. DOI: https://doi.org/10.1016/j.jacc.2011.12.059
Dodd JD, Maree A, Palacios I, et al. Images in cardiovascular medicine. Left main coronary artery compression syndrome: evaluation with 64-slice cardiac multidetector computed tomography. Circulation 2007;115:e7-8. DOI: https://doi.org/10.1161/CIRCULATIONAHA.106.645622
Galiè N, Saia F, Palazzini M, et al. Left main coronary artery compression in patients with pulmonary arterial hypertension and angina. J Am Coll Cardiol 2017;69:2808-17. DOI: https://doi.org/10.1016/j.jacc.2017.03.597
Ogiso M, Serizawa N, Kamishima K, et al. Percutaneous coronary intervention for left main compression syndrome due to severe idiopathic pulmonary arterial hypertension: one year follow-up using intravascular imaging. Intern Med 2015;54:801-4. DOI: https://doi.org/10.2169/internalmedicine.54.3528
Fujiwara K, Naito Y, Higashiue S, et al. Left main coronary trunk compression by dilated main pulmonary artery in atrial septal defect. Report of three cases. J Thorac Cardiovasc Surg 1992;104:449-52. DOI: https://doi.org/10.1016/S0022-5223(19)34802-0
Labin JE, Saggar R, Yang EH, et al. Left main coronary artery compression in pulmonary hypertension. Catheter Cardiovasc Interv 2021;97:E956-66. DOI: https://doi.org/10.1002/ccd.29401

How to Cite

Cersosimo, Angelica, Gianmarco Arabia, Enrico Vizzardi, and Marco Metra. 2022. “Rapid Progression of Pulmonary Artery Dilatation in Pulmonary Hypertension”. Monaldi Archives for Chest Disease 93 (2). https://doi.org/10.4081/monaldi.2022.2369.
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