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

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Presentation transcript:

Left main compression syndrome by idiopathic pulmonary artery aneurysm caused by medial necrosis Erdheim-Gsell combined with bicuspid pulmonary valve Daniel Jodocy, MD, Guy J. Friedrich, MD, Johannes O. Bonatti, MD, Silvana Müller, MD, Guenther Laufer, MD, Otmar Pachinger, MD, FECTS, Patrizia Moser, MD, Gudrun M. Feuchtner, MD The Journal of Thoracic and Cardiovascular Surgery Volume 138, Issue 1, Pages 234-236 (July 2009) DOI: 10.1016/j.jtcvs.2008.02.076 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

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 showing transverse plane of tender bicuspid pulmonary valve without degenerative lesions. PA, Pulmonary artery; LAD, left anterior descending; P, pulmonary valve; A, aorta. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 234-236DOI: (10.1016/j.jtcvs.2008.02.076) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Medial necrosis Erdheim-Gsell. Pathohistology of the pulmonary artery shows mucoid degeneration and areas of necrosis in the tunica media. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 234-236DOI: (10.1016/j.jtcvs.2008.02.076) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions