Recurrent chest pain and dyspnoea in a patient with pulmonary arterial hypertension

Acta Clinica Belgica
Nathalie Van TittelboomEls Vandecasteele

Abstract

Background: Pulmonary arterial hypertension (PAH) is a devastating, life-threatening disease with poor prognosis when left untreated. The long-term prognosis is definitely influenced by the natural progression of PAH but late disease-specific complications may also contribute. Case summary: We present a patient with a long-standing idiopathic PAH in whom progressive dilatation of pulmonary trunk and pulmonary arteries leads to compression of the left main coronary artery and the left atrium with hemodynamic compromise. Conclusion: With the current treatment options, survival in PAH has improved. Guidelines focus on more aggressive treatment with initial combination therapy and earlier referral for transplantation.

References

May 28, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Michael S LeeSeung-Jung Park
Jun 17, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marmar VaseghiJamil Aboulhosn
Jun 22, 2010·The European Respiratory Journal·M HumbertUNKNOWN French Pulmonary Arterial Hypertension Network
Dec 2, 2010·European Respiratory Review : an Official Journal of the European Respiratory Society·J-L Vachiéry, G Simonneau
Jan 21, 2015·Circulation·Maximilian KreibichFriedhelm Beyersdorf

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