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Chow V, Ranasinghe I, Yiannikas J. Coexisting vasospastic angina and undiagnosed Brugada Syndrome resulting in cardiac arrest. Int J Cardiol 2011; 150:e73-6. [DOI: 10.1016/j.ijcard.2009.11.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2009] [Accepted: 11/15/2009] [Indexed: 11/26/2022]
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Kang MK, Jeong YH, Yoon SE, Koh JS, Jung KT, Park Y, Hwang SJ, Kwak CH, Jeon KN, Hwang JY. Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography. Korean Circ J 2011; 41:43-5. [PMID: 21359069 PMCID: PMC3040403 DOI: 10.4070/kcj.2011.41.1.43] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2010] [Revised: 06/14/2010] [Accepted: 06/21/2010] [Indexed: 11/17/2022] Open
Abstract
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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Affiliation(s)
- Min-Kyung Kang
- Division of Cardiology, Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
| | - Young-Hoon Jeong
- Division of Cardiology, Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
| | - Seong-Eun Yoon
- Division of Cardiology, Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
| | - Jin-Sin Koh
- Division of Cardiology, Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
| | - Kwon Tae Jung
- Division of Cardiology, Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
| | - Yongwhi Park
- Division of Cardiology, Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
| | - Seok-Jae Hwang
- Division of Cardiology, Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
| | - Choong-Hwan Kwak
- Division of Cardiology, Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
| | - Kyung-Nyeo Jeon
- Department of Radiology, Gyeongsang National University College of Medicine, Jinju, Korea
| | - Jin-Yong Hwang
- Division of Cardiology, Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
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Cheong JY, Showkathali R, Partridge W, Chauhan A, Sayer J. Severe coronary artery spasm and subsequent coronary subclavian steal syndrome. J Cardiovasc Med (Hagerstown) 2010; 12:768-71. [PMID: 20935570 DOI: 10.2459/jcm.0b013e328340645d] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Edris A, Patel PM, Kern MJ. Early recognition of catheter-induced left main coronary artery vasospasm: Implications for revascularization. Catheter Cardiovasc Interv 2010; 76:304-7. [DOI: 10.1002/ccd.22462] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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