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Евразийский кардиологический журнал

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СИНДРОМ СДАВЛЕНИЯ СТВОЛА ЛЕВОЙ КОРОНАРНОЙ АРТЕРИИ ПРИ ЛЕГОЧНОЙ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИИ. ПЕРВЫЙ КЛИНИЧЕСКИЙ ОПЫТ

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Аннотация

Боль в груди является частым симптомом у пациентов с легочной артериальной гипертензией (ЛАГ). Компрессия коронарных артерий является редким осложнением ЛАГ, что иногда является причиной стенокардических болей у пациентов с ЛАГ в стадии прогрессии заболевания. Стеноз ствола левой коронарной артерии (ЛКА) расширенным стволом легочной артерии зачастую ассоциирован со стенокардией, при этом общепринятых подходов к диагностике и лечению данного состояния в настоящее время нет. В данной работе представлен клинический случай пациентки (38 лет) с диагностированной идиопатической ЛАГ, у которой наблюдалась ишемия миокарда ввиду сдавления ствола ЛКА расширенным стволом легочной артерии. Синдром стеноза ствола ЛКА был подтвержден по данным коронарной ангиографии и мультиспиральной компьютерной томографии. Стентирование ствола ЛКА и применение ЛАГ-специфических препаратов (с целью фармакотерапии ЛАГ) позволили существенно улучшить состояние пациента, включая улучшения функции сердца и качества жизни. Чрезкожное коронарное вмешательство, по-видимому, является эффективным и безопасным методом коррекции синдрома сдавления ствола ЛКА расширенным стволом ЛА.

Об авторах

А. Н. Быков
ГБУЗ Свердловской области «Свердловская областная клиническая больница №1»
Россия

врач-кардиолог

+7 (343) 3511539

г. Екатеринбург, 620043, ул. Репина 99А, кв. 30



М. В. Архипов
ФГБОУ ВО «Уральский государственный медицинский университет Минздрава России»
Россия

заведующий кафедрой терапии ФПК и ПП, д.м.н., профессор, 

+7 (343) 2424913



Н. Ф. Климушева
ГБУЗ Свердловской области «Свердловская областная клиническая больница №1»
Россия

заместитель главного врача по медицинской части, д.м.н., 

+7 (343) 3511616



А. И. Иофин
ГБУЗ Свердловской области «Свердловская областная клиническая больница №1»
Россия

заведующий отделением кардиологии, заслуженный врач РФ,

+7 (343) 3511510



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85. Инструкция по медицинскому применению лекарственного препарата Адемпас (регистрационный номер лП-002639)


Для цитирования:


Быков А.Н., Архипов М.В., Климушева Н.Ф., Иофин А.И. СИНДРОМ СДАВЛЕНИЯ СТВОЛА ЛЕВОЙ КОРОНАРНОЙ АРТЕРИИ ПРИ ЛЕГОЧНОЙ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИИ. ПЕРВЫЙ КЛИНИЧЕСКИЙ ОПЫТ. Евразийский кардиологический журнал. 2018;(4):98-117.

For citation:


Bykov A.N., Arkhipov M.V., Klimusheva N.F., Iofin A.I. LEFT MAIN CORONARY ARTERY COMPRESSION SYNDROME IN PATIENT WITH PULMONARY ARTERIAL HYPERTENSION. FIRST CLINICAL EXPERIENCE. Eurasian heart journal. 2018;(4):98-117.

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