Treatment of left main coronary artery compression in the setting of unpalliated congenital heart disease: a case series

ABSTRACT: Abstract

Background

Left main coronary artery compression syndrome (LMCS) is a well-characterized phenomenon resulting from compression of the left main coronary artery (LMCA) between the aorta and an enlarged pulmonary arterial trunk. The development of LMCS is usually described in the context of severe pulmonary arterial hypertension. Cases of LMCS, in the context of unpalliated congenital heart disease (CHD), are complex clinical scenarios that challenge traditional treatment paradigms.

Case summary

Here, we discuss two thought-provoking patients with unpalliated CHD complicated by severe pulmonary hypertension (PH). Both patients developed LMCS, one with severe non-ST elevation myocardial infarction and the other with refractory angina. Their pulmonary vascular resist

SUBMITTER:  

PROVIDER: S-EPMC10438211 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature