Another cause of chest pain: Coronary artery—Pulmonary artery fistulae

2011 ◽  
Vol 10 (02) ◽  
pp. 85-87 ◽  
Author(s):  
Nuran Yener ◽  
Ali Yener
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Pulmonary Artery

Abnormal Origin of the Left Coronary Artery From the Pulmonary Artery Discovered at Age 67: What to Do?

2018 ◽  
Vol 11 (4) ◽  
pp. NP207-NP209 ◽  
Author(s):  
Fadoua Lachhab ◽  
Rachida Amri ◽  
Loubna Mahfoudi ◽  
Said Moughil
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Mortality Rate ◽  
Pulmonary Artery ◽  
Left Coronary Artery ◽  
Anomalous Left Coronary Artery ◽  
Atypical Chest Pain ◽  
Common Cause ◽  
Medical Regimen ◽  
Anomalous Left Coronary

Anomalous left coronary artery from the pulmonary artery (ALCAPA) was described by Abbott in 1908. In most cases, it is an isolated lesion, being the most common cause of myocardial ischemia in children. The associated mortality rate without intervention reaches 90% during childhood. We report the case of a 67-year-old woman, who underwent coronary angiography for investigation of atypical chest pain and was found to have ALCAPA. The patient refused surgery and has remained asymptomatic on a medical regimen.

Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery in a Child with Chest Pain

2013 ◽  
Vol 30 (7) ◽  
pp. E222-E223 ◽  
Author(s):  
Baris Guven ◽  
Onder Doksoz ◽  
Rahmi Ozdemir ◽  
Timur Mese ◽  
Berhan Genc
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Anomalous Origin ◽  
The Right

scholarly journals Acute Myocardial Infarction due to External Compression of the Left Main Coronary Artery by a Large Pulmonary Artery Aneurysm

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
H. Sharma ◽  
S. N. Doshi ◽  
M. A. Nadir
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
Coronary Artery ◽  
Pulmonary Arterial Hypertension ◽  
Pulmonary Artery ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
External Compression ◽  
Pulmonary Arterial

Background. Although rare, external compression of the left main coronary artery (LMCA) by a pulmonary arterial aneurysm (PAA) as a consequence of pulmonary arterial hypertension causing stable angina pectoris is well described. However, acute myocardial infarction is extremely rare, particularly with a full array of electrocardiographic, biochemical, and echocardiographic features, as in this scenario. Case. In this case, a 62-year-old man with a past history of severe fibrotic lung disease was hospitalised with chest pain. The patient had dynamic anterolateral ischaemic changes on electrocardiography and serially elevated high-sensitivity troponin I. Transthoracic echocardiography revealed impaired left ventricular ejection fraction with anterolateral hypokinesis. Coronary angiography with intracoronary imaging revealed external compression of the LMCA. Computer tomography (CT) scans confirmed new PAA, compared to previous scans. The patient was successfully treated by percutaneous coronary stent implantation. Conclusion. Progressive dilatation of the pulmonary artery due to pulmonary arterial hypertension can result in acute MI secondary to external compression of the LMCA. Clinicians should be mindful of acute coronary syndromes in patients with long-standing pulmonary hypertension presenting with chest pain.

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