• Arq. Bras. Cardiol. · Feb 2007

    Case Reports

    Extrinsic compression of left main coronary artery from aneurysmal dilation of pulmonary trunk in a adolescent: involution after surgery occlusion of sinus venosus atrial septal defect and pulmonary trunk plasty for reduction.

    • Fernando T V Amaral, Lafaiete Alves, João A Granzotti, Paulo H Manso, Moysés O Lima Filho, Mauro C Jurca, Alfredo J Rodrigues, and Walter V A Vicente.
    • Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil. ftamaral@cardiol.br
    • Arq. Bras. Cardiol. 2007 Feb 1;88(2):e40-3.

    AbstractWe report the case of an adolescent referred with initial diagnosis of pulmonary hypertension. Non-invasive investigation disclosed a sinus venous atrial septal defect with pulmonary hypertension. The hemodynamic study confirmed diagnosis, and also showed extrinsic compression of left main coronary artery by pulmonary trunk. Surgical closure of the defect in addition to pulmonary trunk plasty were undertaken. Two years after the surgery the patient is well, with clinical signs of mild pulmonary hypertension, and showing no evidence--also on echocardiogram--of left coronary artery trunk obstruction.

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