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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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
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author 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
author_facet 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
author_sort Kang, Min-Kyung
collection PubMed
description 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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spelling pubmed-30404032011-02-25 Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography 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 Korean Circ J Case Report 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. The Korean Society of Cardiology 2011-01 2011-01-31 /pmc/articles/PMC3040403/ /pubmed/21359069 http://dx.doi.org/10.4070/kcj.2011.41.1.43 Text en Copyright © 2011 The Korean Society of Cardiology http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
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
Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography
title Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography
title_full Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography
title_fullStr Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography
title_full_unstemmed Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography
title_short Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography
title_sort isolated left main coronary artery spasm detected by multidetector computed tomography
topic Case Report
url 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
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