Compressão extrínseca da artéria coronária esquerda por dilatação aneurismática do tronco pulmonar em adolescente: involução após oclusão cirúrgica de comunicação interatrial seio venoso e plastia redutora do tronco pulmonar
Autor: | Moysés de Oliveira Lima Filho, L. W. R. Alves, Alfredo José Rodrigues, Mauro C. Jurca, Amaral Ft, Walter Villela de Andrade Vicente, João A. Granzotti, Paulo Henrique Manso |
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Rok vydání: | 2007 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Sinus venosus atrial septal defect medicine.disease Pulmonary hypertension Trunk Magnetic resonance angiography Surgery medicine.anatomical_structure Left coronary artery medicine.artery Internal medicine Pulmonary artery Occlusion medicine Cardiology Cardiology and Cardiovascular Medicine business Artery |
Zdroj: | Arquivos Brasileiros de Cardiologia. 88:e40-e43 |
ISSN: | 0066-782X |
Popis: | We 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. |
Databáze: | OpenAIRE |
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