Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography

Although atherosclerotic obstruction is the main cause of left main coronary artery (LMCA) disease, it can also be associated with vasospasm. We report a case of a 61-year-old male who presented with ostial stenosis of the LMCA, detected by 64-slice multi-detector computed tomographic coronary angio...

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Detalles Bibliográficos
Autores principales: Kang, Min-Kyung, Jeong, Young-Hoon, Yoon, Seong-Eun, Koh, Jin-Sin, Jung, Kwon Tae, Park, Yongwhi, Hwang, Seok-Jae, Kwak, Choong-Hwan, Jeon, Kyung-Nyeo, Hwang, Jin-Yong
Formato: Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3040403/
https://www.ncbi.nlm.nih.gov/pubmed/21359069
http://dx.doi.org/10.4070/kcj.2011.41.1.43
Descripción
Sumario:Although atherosclerotic obstruction is the main cause of left main coronary artery (LMCA) disease, it can also be associated with vasospasm. We report a case of a 61-year-old male who presented with ostial stenosis of the LMCA, detected by 64-slice multi-detector computed tomographic coronary angiography (MDCT-CA). Careful review of MDCT and intravascular ultrasound findings showed suspicion of an isolated spasm of the LMCA without a significant atherosclerotic lesion. The patient was successfully treated with nitrates and a calcium channel blocker.

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