Синдром сдавления ствола левой коронарной артерии при легочной артериальной гипертензии. Первый клинический опыт

Синдром сдавления ствола левой коронарной артерии при легочной артериальной гипертензии. Первый клинический опыт

Автор: Быков Александр Николаевич, Архипов Михаил Викторович, Климушева Наталия Федоровна, Иофин Александр Ильич

Журнал: Евразийский кардиологический журнал @eurasian-cardiology-journal

Рубрика: Клинический случай

Статья в выпуске: 4, 2018 года.

Бесплатный доступ

Боль в груди является частым симптомом у пациентов с легочной артериальной гипертензией (ЛАГ). Компрессия коронарных артерий является редким осложнением ЛАГ, что иногда является причиной стенокардических болей у пациентов с ЛАГ в стадии прогрессии заболевания. Стеноз ствола левой коронарной артерии (ЛКА) расширенным стволом легочной артерии зачастую ассоциирован со стенокардией, при этом общепринятых подходов к диагностике и лечению данного состояния в настоящее время нет. В данной работе представлен клинический случай пациентки (38 лет) с диагностированной идиопатической ЛАГ, у которой наблюдалась ишемия миокарда ввиду сдавления ствола ЛКА расширенным стволом легочной артерии. Синдром стеноза ствола ЛКА был подтвержден по данным коронарной ангиографии и мультиспиральной компьютерной томографии. Стентирование ствола ЛКА и применение ЛАГ-специфических препаратов (с целью фармакотерапии ЛАГ) позволили существенно улучшить состояние пациента, включая улучшения функции сердца и качества жизни. Чрезкожное коронарное вмешательство, по-видимому, является эффективным и безопасным методом коррекции синдрома сдавления ствола ЛКА расширенным стволом ЛА

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Идиопатическая легочная артериальная гипертензия, ствол левой коронарной артерии, расширение ствола легочной артерии, легочная гипертензия

Короткий адрес: https://sciup.org/143170022

IDR: 143170022

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