Left Main Coronary Artery Compression Syndrome with an Incomplete Atrioventricular Septal Defect Presenting as Angina Induced by Hyperthyroidism

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  • Kusunose Kenya
    Department of Cardiovascular Medicine, Tokushima University Hospital, Japan
  • Tomita Noriko
    Department of Cardiovascular Medicine, Tokushima University Hospital, Japan
  • Nishio Susumu
    Department of Cardiovascular Medicine, Tokushima University Hospital, Japan
  • Bando Mika
    Department of Cardiovascular Medicine, Tokushima University Hospital, Japan
  • Hayashi Shuji
    Department of Cardiovascular Medicine, Tokushima University Hospital, Japan
  • Hotchi Junko
    Department of Cardiovascular Medicine, Tokushima University Hospital, Japan
  • Iwase Takashi
    Department of Cardiovascular Medicine, Tokushima University Hospital, Japan
  • Yamada Hirotsugu
    Department of Cardiovascular Medicine, Tokushima University Hospital, Japan
  • Sata Masataka
    Department of Cardiovascular Medicine, Tokushima University Hospital, Japan

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Description

We herein report the case of a 29-year-old woman who was diagnosed with incomplete atrioventricular septal defect and extrinsic compression of the left main coronary artery (LMCA) with chest pain due to postpartum thyroiditis. She exhibited chest pain with ST elevation, and coronary computed tomography showed that the LMCA was compressed between the dilated pulmonary artery and aorta. After her hyperthyroidism was treated, her chest pain resolved. Surgical repair of endocardiosis and coronary bypass grafting were performed. On the one-year follow-up visit, the dilation of the pulmonary artery and right heart was decreased. It is important to consider the possibility of compression of the LMCA in patients presenting with pulmonary hypertension and chest pain.<br>

Journal

  • Internal Medicine

    Internal Medicine 53 (18), 2083-2085, 2014

    The Japanese Society of Internal Medicine

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