一名先天性肺动脉狭窄患者出现右肺动脉压迫左冠状动脉主干。
Left main coronary artery compression by the right pulmonary artery in a patient with congenital pulmonic stenosis.
作者信息
Bahena-López Eduardo, Loya-Centurión Jorge
机构信息
Departamento de Cardiología, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, México.
出版信息
Arch Cardiol Mex. 2020;90(1):55-57. doi: 10.24875/ACM.190000149.
Congenital pulmonary stenosis (PS) can be associated with pulmonary artery (PA) dilatation. In some cases, this can cause compression of nearby structures including the left main coronary artery (LMCA). This compression causes angina and is considered an indication for surgical treatment. We present the case of a patient with PS and angina secondary to LMCA compression by the right PA and review the main indications and options for surgical treatment.
先天性肺动脉狭窄（PS）可能与肺动脉（PA）扩张有关。在某些情况下，这可能导致对包括左冠状动脉主干（LMCA）在内的附近结构的压迫。这种压迫会引起心绞痛，被认为是手术治疗的指征。我们介绍了一例因右肺动脉压迫左冠状动脉主干导致PS和心绞痛的患者病例，并回顾了手术治疗的主要指征和选择。
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