Left main coronary artery compression due to pulmonary artery aneurysm: Three-year clinical and angiographic follow-up after stenting

Roberto Ramos Barbosa, Afonso Dalmazio Souza Mario, Darlan Dadalt, Nicholas Loureiro de Sá, Renato Giestas Serp, Tiago de Melo Jacques, Osmar de Araujo Calil, Luiz Fernando Machado Barbosa

Abstract


We report a case of a 53-year-old male patient with typical angina and dyspnea with moderate exertion due to extrinsic
compression of the left main coronary artery (LMCA) by a pulmonary artery aneurysm. Coronary angiography demonstrated 90% stenosis of the LMCA ostium. Percutaneous coronary intervention was successfully performed with implantation of a 6.0 mm × 12 mm bare-metal stent guided by intravascular ultrasound (IVUS). He remained asymptomatic at three-years evaluation, and angiographic and IVUS follow-up showed no significant in-stent neointimal hyperplasia or luminal loss, with excellent apposition and covering of stent struts and minimal luminal area 23.3 mm 2 as measured by IVUS.


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DOI: https://doi.org/10.5430/crim.v4n1p64

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Case Reports in Internal Medicine

ISSN 2332-7243(Print)  ISSN 2332-7251(Online)

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