01 January 2015 by John Ryan, Thenappan Thenappan, Stuart Rich, Stephen Archer

Patient with ASD and left main coronary artery compression

Ryan JJ,Thenappan T,Luo N,Ha T,Patel AR,Rich S,Archer SL.The WHO classification of pulmonary hypertension: A case-based imaging compendium.Pulmonary circulation. 2012 ;2:107-21.

Patient with ASD and left main coronary artery compression. (A) ECG showing right atrial enlargement and severe RVH. (B) Chest X-ray showing severely enlarged PA. (C) Lateral chest X-ray showing filling of the retrosternal space. (D, E) Coronary angiogram showing compression of left main coronary artery (small caliber of left main, white arrow). (F) Transverse section at level of bifurcation of pulmonary artery showing proximity of left pulmonary artery (LPA) to the left main coronary artery and compression (white arrow). RPA: Right pulmonary artery; Ao: Aorta. (G) Sagittal views left main coronary artery (white arrow) compressed by pulmonary artery (PA).


Additional keywords: ASD,electrocardiogram,septal defect

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