Browse > Article
http://dx.doi.org/10.4070/kcj.2011.41.1.43

Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography  

Kang, Min-Kyung (Division of Cardiology, Departments of Internal Medicine, Gyeongsang National University College of Medicine)
Jeong, Young-Hoon (Division of Cardiology, Departments of Internal Medicine, Gyeongsang National University College of Medicine)
Yoon, Seong-Eun (Division of Cardiology, Departments of Internal Medicine, Gyeongsang National University College of Medicine)
Koh, Jin-Sin (Division of Cardiology, Departments of Internal Medicine, Gyeongsang National University College of Medicine)
Jung, Kwon-Tae (Division of Cardiology, Departments of Internal Medicine, Gyeongsang National University College of Medicine)
Park, Yong-Whi (Division of Cardiology, Departments of Internal Medicine, Gyeongsang National University College of Medicine)
Hwang, Seok-Jae (Division of Cardiology, Departments of Internal Medicine, Gyeongsang National University College of Medicine)
Kwak, Choong-Hwan (Division of Cardiology, Departments of Internal Medicine, Gyeongsang National University College of Medicine)
Jeon, Kyung-Nyeo (Division of Cardiology, Departments of Radiology, Gyeongsang National University College of Medicine)
Hwang, Jin-Yong (Division of Cardiology, Departments of Internal Medicine, Gyeongsang National University College of Medicine)
Publication Information
Korean Circulation Journal / v.41, no.1, 2011 , pp. 43-45 More about this Journal
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.
Keywords
Coronary vessels; Coronary vasospasm; Computed tomography, spiral; Interventional ultrasonography;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
Times Cited By SCOPUS : 0
연도 인용수 순위
1 Yasue H, Nakagawa H, Itoh T, Harada E, Mizuno Y. Coronary artery spasm: clinical features, diagnosis, pathogenesis, and treatment. J Cardiol 2008;51:2-17.   DOI   ScienceOn
2 Chuang YT, Ueng KC. Spontaneous and simultaneous multivessel coronary spasm causing multisite myocardial infarction, cardiogenic sh-ock, atrioventricular block, and ventricular fibrillation. Circ J 2009;73:1961-4.   DOI   ScienceOn
3 Parakh N, Singh S, Math RS, Sharma S, Bahl VK. Catheter-induced left main coronary artery spasm. J Cardiovasc Med (Hagerstown) 2009;10:288-9.   DOI   ScienceOn
4 Pflederer T, Marwan M, Ropers D, Daniel WG, Achenbach S. CT angiography unmasking catheter-induced spasm as a reason for left main coronary artery stenosis. J Cardiovasc Comput Tomogr 2008;2:406-7.   DOI   ScienceOn
5 Park SJ, Kim YH, Park DW, et al. Impact of intravascular ultrasound guidance on long-term mortality in stenting for unprotected left main coronary artery stenosis. Circ Cardiovasc Interv 2009;2:167-77.   DOI   ScienceOn
6 Yoo SY, Kim JY. Recent insights into the mechanisms of vasospastic angina. Korean Circ J 2009;39:505-11.   DOI   ScienceOn
7 Lee KH, Lee H, Bae MH, et al. Gender differences among Korean patients with coronary spasm. Korean Circ J 2009;39:423-7.   DOI   ScienceOn