Successful treatment of a patient with left main coronary artery compression due to pulmonary arterial hypertension in HIV infection: a case report

Human immunodeficiency virus (HIV) is characterized by slow and gradual damage to the immune system. In recent years, its incidence has increased by an average of 10% per year. However, in the era of antiretroviral therapy, the life expectancy of this cohort of patients has increased, shifting the focus to complications, including cardiovascular ones. This article describes a patient with pulmonary arterial hypertension (PAH) associated with HIV infection who developed a rare, severe complication — left main coronary artery compression syndrome due to a dilated pulmonary artery. It describes successful endovascular treatment and the selection of PAH-specific therapy.