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Images in Cardiovascular Medicine

Compression of the Left Main Coronary Artery by a Giant Pulmonary Artery Aneurysm

Alfonso Jurado-Román, Felipe Hernández-Hernández, María J. Ruíz-Cano, María T. Velázquez-Martín, José M. Medina, Inés Pérez-López, Elvira Barrios-Garrido-Lestache, José M. Montero-Cabezas, Pilar Escribano-Subías
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https://doi.org/10.1161/CIRCULATIONAHA.112.152199
Circulation. 2013;127:1340-1341
Originally published March 25, 2013
Alfonso Jurado-Román
From the Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
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Felipe Hernández-Hernández
From the Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
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María J. Ruíz-Cano
From the Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
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María T. Velázquez-Martín
From the Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
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José M. Medina
From the Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
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Inés Pérez-López
From the Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
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Elvira Barrios-Garrido-Lestache
From the Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
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José M. Montero-Cabezas
From the Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
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Pilar Escribano-Subías
From the Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
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We present a 70-year–old man who had a past medical history of dilated idiopathic pulmonary artery, incidentally diagnosed at the age of 23 years. He was asymptomatic until a year ago when he was admitted for an episode of anginal chest pain in the context of paroxysmal atrial fibrillation. At rapid rates, he showed pathological ST segment descent. A coronary angiography showed a slight stenosis of the left main coronary artery (LMCA). At that time, the mean pulmonary artery pressure was 36 mm Hg. After recovering sinus rhythm, the patient became asymptomatic and was discharged with β-blockers.

A year later, the patient was admitted with resting angina. The echocardiogram (Figure A) and the computed tomography-angio showed that the aneurysm had increased to 80 mm and compressed the LMCA (Figure B). This finding was …

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March 26, 2013, Volume 127, Issue 12
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    Compression of the Left Main Coronary Artery by a Giant Pulmonary Artery Aneurysm
    Alfonso Jurado-Román, Felipe Hernández-Hernández, María J. Ruíz-Cano, María T. Velázquez-Martín, José M. Medina, Inés Pérez-López, Elvira Barrios-Garrido-Lestache, José M. Montero-Cabezas and Pilar Escribano-Subías
    Circulation. 2013;127:1340-1341, originally published March 25, 2013
    https://doi.org/10.1161/CIRCULATIONAHA.112.152199

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    Compression of the Left Main Coronary Artery by a Giant Pulmonary Artery Aneurysm
    Alfonso Jurado-Román, Felipe Hernández-Hernández, María J. Ruíz-Cano, María T. Velázquez-Martín, José M. Medina, Inés Pérez-López, Elvira Barrios-Garrido-Lestache, José M. Montero-Cabezas and Pilar Escribano-Subías
    Circulation. 2013;127:1340-1341, originally published March 25, 2013
    https://doi.org/10.1161/CIRCULATIONAHA.112.152199
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