The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Coronary interventions

4D-cardiac CT and IVUS support stenting of left main compression due to an enlarged pulmonary artery

EuroIntervention 2015;11:e1 published online e-article December 2015. DOI: 10.4244/EIJV11I8A185

1. Heart Center Freiburg University, Department of Cardiology and Angiology I, Freiburg, Germany; 2. Heart Center Freiburg University, Department of Cardiology and Angiology II, Bad Krozingen, Germany; 3. Department of Radiology, Section of Cardiovascular
A 60-year-old woman with a history of severe chronic thromboembolic hypertension presented with progressive symptoms of typical angina. Cardiac computed tomography angiography (CTA) revealed a filiform-shaped left main (LM) with severe systolic/diastolic vessel compression between a prominently enlarged pulmonary artery trunk (Ø68 mm) and the aortic sinus (Figure 1A-Figure 1C, Moving image 1, Moving image 2). Stress echocardiography showed an inducible ischaemia in the anterior wall. Invasive coronary angiography and intravascular ultrasound (IVUS) confirmed these results with a pulsatile 80% stenosis of the LM (Figure 1D). IVUS excluded coronary plaque stenosis (Figure 1E). A 5.0×12 mm Dynamic Renal stent (Biotronik, Berlin, Germany) used for ...

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