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- W4220879367 abstract "An 80-year-old male with past medical history of mitral valve replacement in 2005 due to mitral stenosis (mechanical prosthesis), atrial fibrillation and cardiac resynchronization therapy, complained about angina for the last year. The transthoracic echocardiogram showed severe enlargement of the left atrium (Panel A). The electrocardiogram showed dynamic changes with and without angina (Panels B and C). The coronary angiography showed a sharp left main (LM) ostium, with dynamic ostial LM limitation in contrast flow, and no significant atherosclerotic disease (Panel D). To clarify the findings, intravascular ultrasound (IVUS) evaluation was done and showed a dynamic compression from an oval to a slit-like cross-sectional shape. At the same point, there was a significant variation with cardiac cycle. The maximum cross-sectional area was 18.23 mm2, and the minimum was 5.24 mm2 (Panels E and F). To evaluate the presence of..." @default.
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- W4220879367 date "2022-04-06" @default.
- W4220879367 modified "2023-10-09" @default.
- W4220879367 title "Dynamic compression of the left main coronary artery by the left atrium" @default.
- W4220879367 doi "https://doi.org/10.1093/ehjci/jeac065" @default.
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