肺动脉外周动脉狭窄并发烟雾病所致肺动脉高压所致左主干压迫综合征

Q4 Medicine

Journal of Cardiology Cases Pub Date : 2025-02-01 DOI:10.1016/j.jccase.2024.09.006

Sei Matsuo MD, Kazuyuki Ozaki MD, FJCC, Takeshi Kashimura MD, Yuji Matsuo MD, Tsugumi Takayama MD, Makoto Hoyano MD, Takao Yanagawa MD, Takayuki Inomata MD, FJCC

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引用次数: 0

摘要

左主干受压综合征（LMCS）是一种左主干冠状动脉开口在扩张的肺动脉和Valsalva窦之间受压并伴有肺动脉高压（PH）的疾病。LMCS的主要病因是先天性心脏病引起的继发性PH。然而，尚未见肺外周动脉狭窄并发烟雾病（MMD）导致PH所致LMCS的报道。我们报告一例由PH引起的LMCS，由肺动脉外周狭窄合并烟雾病引起，患者为41岁女性，经皮冠状动脉介入治疗。学习目的左主干受压综合征（LMCS）是指肺动脉高压引起的左冠状动脉主干在扩张的肺动脉和主动脉之间受压。本文报道首例肺外周动脉狭窄并发烟雾病的LMCS病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Left main compression syndrome caused by pulmonary hypertension due to peripheral pulmonary artery stenosis complicated with moyamoya disease

Left main compression syndrome (LMCS) is a disease in which the ostium of the left main coronary artery is compressed between a dilated pulmonary artery and the sinus of Valsalva associated with pulmonary hypertension (PH). The major etiology of LMCS is secondary PH due to congenital heart disease. However, no reports exist regarding LMCS caused by PH due to peripheral pulmonary artery stenosis complicated with moyamoya disease (MMD). We report a case of LMCS caused by PH due to peripheral pulmonary artery stenosis complicated with MMD in a 41-year-old woman who was treated with percutaneous coronary intervention.

Learning objective

Left main compression syndrome (LMCS) is a condition in which the main trunk of the left coronary artery is compressed between the dilated pulmonary artery and aorta due to pulmonary hypertension. This paper reports the first case of LMCS due to peripheral pulmonary artery stenosis complicated with moyamoya disease.

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