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J Thorac Cardiovasc Surg 2009;138:234-236
© 2009 The American Association for Thoracic Surgery

Brief Clinical Report

Left main compression syndrome by idiopathic pulmonary artery aneurysm caused by medial necrosis Erdheim-Gsell combined with bicuspid pulmonary valve

Daniel Jodocy, MDa, Guy J. Friedrich, MDa, Johannes O. Bonatti, MDc, Silvana Müller, MDb, Guenther Laufer, MDc, Otmar Pachinger, MD, FECTSa, Patrizia Moser, MDd, Gudrun M. Feuchtner, MDb,*

a Department of Cardiology, Innsbruck Medical University, Innsbruck, Austria
b Department of Radiology, Innsbruck Medical University, Innsbruck, Austria
c Department of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria
d Department of Pathology, Innsbruck Medical University, Innsbruck, Austria

Received for publication January 21, 2008; accepted for publication February 7, 2008.

* Address for reprints: Gudrun M. Feuchtner, MD, Innsbruck Medical University, Department of Radiology II, Anichstr. 35, A-6020 Innsbruck, Austria, Europe. (Email: Gudrun.Feuchtner@i-med.ac.at).

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   Introduction
 
A 71-year-old man with episodes of dyspnea presented with stress-induced anterior myocardial ischemia on myocardial single photon emission computed tomography. He was referred for invasive angiography, which revealed a left main coronary artery ostial catheter pressure decrease and an atypical configuration of the left main stem (Figure 1, A ).


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  		Figure 1. Left main compression syndrome (arrows). Compression of left main coronary artery between the giant isolated pulmonary artery and the aortic root. Invasive angiography (A), cardiac electrocardiogram-gated multislice computed tomography (B-D); 3-dimensional volume rendering technique (B) of the left anterior descending coronary artery; left coronary oblique view (C); and left sagittal oblique view (D) with inlay left bottom . . . [Full Text of this Article]

 





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