Stenting of the left main coronary artery stenosis due to extrinsic compression

A 46-year-old woman was referred to the Cardiology Department with a history of dyspnoea, fatigue (NYHA class III), and angina on mild exertion. At the age of 14, she was operated for isolated pulmonary stenosis; 26 years after surgery, she was diagnosed with pulmonary regurgitation and pulmonary trunk dilatation. On admission, the physical examination revealed a diastolic thrill and diastolic and systolic pulmonary murmurs. Electrocardiogram showed sinus rhytm, QRS axis at 70°, …