First application of coronary flow reserve measurement for the assessment of left main compression syndrome in pulmonary hypertension

Eftychia Demerouti; Emmanouil Petrou; George Karatasakis; Irene Mastorakou; George Athanassopoulos

doi:10.1016/j.cjca.2014.09.012

First application of coronary flow reserve measurement for the assessment of left main compression syndrome in pulmonary hypertension

Can J Cardiol. 2015 Apr;31(4):548.e9-548.e11. doi: 10.1016/j.cjca.2014.09.012. Epub 2014 Sep 20.

Authors

Eftychia Demerouti¹, Emmanouil Petrou², George Karatasakis², Irene Mastorakou³, George Athanassopoulos²

Affiliations

¹ Division of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece. Electronic address: [email protected].
² Division of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece.
³ Imaging Department, Onassis Cardiac Surgery Center, Athens, Greece.

PMID: 25595033
DOI: 10.1016/j.cjca.2014.09.012

Abstract

Left main compression syndrome (LMCS) refers to extrinsic compression of the left main coronary artery because of a dilated pulmonary artery trunk. The condition represents an unusual cause of angina, left ventricular dysfunction, and sudden cardiac death in patients with pulmonary hypertension. We present 2 patients with the syndrome who were followed with serial assessments of coronary flow reserve by transthoracic echocardiography to screen for LMCS-related ischemia.

Publication types

Case Reports

MeSH terms

Angiography
Coronary Circulation / physiology*
Coronary Stenosis / diagnosis*
Coronary Stenosis / etiology
Coronary Stenosis / physiopathology
Diagnosis, Differential
Dilatation, Pathologic
Female
Humans
Hypertension, Pulmonary / complications*
Hypertension, Pulmonary / physiopathology
Middle Aged
Pulmonary Artery / diagnostic imaging*
Regional Blood Flow / physiology*
Syndrome
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color