Evidence map›Paper›PMID 28660794›Full record

ArticlePulmonary circulation

Left main coronary artery compression by a dilated main pulmonary artery and left coronary sinus of Valsalva aneurysm in a patient with heritable pulmonary arterial hypertension and FLNA mutation.

Akihiro Hirashiki, Shiro Adachi, Yoshihisa Nakano, Yoshihiro Kamimura, Takeshi Ogo, Norifumi Nakanishi, Takayuki Morisaki, Hiroko Morisaki, Atsuya Shimizu, Kenji Toba and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Pulmonary circulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Relationship BetweenJournal of the American Heart Association · 2025
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  6. Coronary artery disease in adults with congenital heart disease.International journal of cardiology. Congenital heart disease · 2023
    Review
  7. Article
  8. Review
  9. Review
  10. Extrinsic compression of coronary and pulmonary vasculature.Cardiovascular diagnosis and therapy · 2021
    Review
  11. Article
  12. Review
  13. Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Akihiro Hirashiki1 Department of Cardiology, National Center for Geriatrics and Gerontology, Obu, Japan.
Shiro Adachi3 Department of Advanced Medicine in Cardiopulmonary Disease, Nagoya University Graduate School of Medicine, Aichi, Japan.
Yoshihisa Nakano2 Department of Cardiology, Nagoya University Graduate School of Medicine, Aichi, Japan.
Yoshihiro Kamimura2 Department of Cardiology, Nagoya University Graduate School of Medicine, Aichi, Japan.
Takeshi Ogo4 Department of Advanced Medical Research for Pulmonary Hypertension, Division of Pulmonary Circulation, National Cerebral and Cardiovascular Center, Osaka, Japan.
Norifumi Nakanishi4 Department of Advanced Medical Research for Pulmonary Hypertension, Division of Pulmonary Circulation, National Cerebral and Cardiovascular Center, Osaka, Japan.
Takayuki Morisaki5 Department of Bioscience and Genetics, National Cerebral and Cardiovascular Center, Osaka, Japan.
Hiroko Morisaki5 Department of Bioscience and Genetics, National Cerebral and Cardiovascular Center, Osaka, Japan.
Atsuya Shimizu1 Department of Cardiology, National Center for Geriatrics and Gerontology, Obu, Japan.
Kenji Toba1 Department of Cardiology, National Center for Geriatrics and Gerontology, Obu, Japan.
Toyoaki Murohara2 Department of Cardiology, Nagoya University Graduate School of Medicine, Aichi, Japan.
Takahisa Kondo3 Department of Advanced Medicine in Cardiopulmonary Disease, Nagoya University Graduate School of Medicine, Aichi, Japan.
Nagoya University · JPNational Center for Geriatrics and Gerontology · JPPulmonary Hypertension Association · USNational Cerebral and Cardiovascular Center · JPUniversity of Tokyo Health Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Left main coronary artery (LMCA) disease due to external compression by a dilated main pulmonary artery (MPA) is an uncommon clinical entity. Here, we describe a 52-year-old woman with pulmonary arterial hypertension (PAH) and anteroseptal old myocardial infarction (OMI). The cause of the OMI was external compression of the LMCA by the dilated MPA and aneurysm of the left coronary sinus of Valsalva. The patient's sister (aged 56 years) had also been diagnosed with PAH and both women had a novel heterozygous splicing mutation, IVS2-2A > G (c.374-2A > G in NM_001456), in the filamin A ( FLNA) gene. To our knowledge, this is the first report of HPAH which is likely to be due to FLNA mutation and compression of the LMCA between a dilated MPA and aneurysm of the left coronary sinus of Valsalva.

Indexed as

aneurysm of the left coronary sinus of Valsalvaheritable pulmonary arterial hypertensionmyocardial infarction

Identifiers

PMID28660794
PMCPMC5841897
OpenAlexW2620873905

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.