RESUMO
Idiopathic pulmonary arterial hypertension is a serious condition that carries a poor prognosis. While exertional dyspnea is the most common symptom, angina like chest pain, most often due to right ventricle ischemia, may occur at advanced stages. We present a patient with pulmonary hypertension symptomatic for dyspnea and angina in whom computed coronary tomography angiography showed compression of the left main coronary artery by a large pulmonary artery aneurysm. Percutaneous coronary intervention and stenting was performed resulting in significant clinical improvement. This case emphasizes the role of different cardiovascular imaging modalities for the diagnosis of rare conditions.
RESUMO
[RESUMEN]. La disección arterial coronaria espontánea es una causa frecuente de eventos coronarios agudos, mayoritariamente en mujeres. Dicha entidad no guarda relación con los factores de riesgo cardiovasculares tradicionales y frecuentemente se encuentra subdiagnosticada. Presentamos el caso de un paciente joven que se presenta con un síndrome coronario agudo.
[ABSTRACT]. Spontaneous coronary artery dissection is a common cause of acute coronary events, most often seen in women. This entity is not related to traditional cardiovascular risk factors and is frequently underdiagnosed. We present the case of a young patient who presents with an acute coronary syndrome.