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Asian Cardiovasc Thorac Ann. 2019 Mar 12:218492319836869. doi: 10.1177/0218492319836869. [Epub ahead of print]

Atrial septal defect causing angina.

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Dr. Ram Manohar Lohia Hospital, Post Graduate Institute of Medical Education and Research, New Delhi, India.


Left coronary artery compression syndrome is characterized by compression of the left main coronary artery between the aorta and an enlarged main pulmonary artery. A 39-year-old woman presented with angina with dyspnea on exertion for two years. Detailed investigations revealed an atrial septal defect, valvular lesions, and severe pulmonary hypertension with left main coronary artery compression. Patch closure of the atrial septal defect, left coronary artery bypass, and valve repair was carried out. The patient recovered well and was asymptomatic on follow-up. The optimal management of such patients is yet to be clarified.


Coronary artery bypass; Dilatation; Heart septal defects; Hypertension; Pulmonary artery; atrial; pathologic; pulmonary


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