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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Published inKorean circulation journal Vol. 41; no. 1; pp. 43 - 45
Main Authors 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
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society of Cardiology 01.01.2011
대한심장학회
Subjects
Angiography
Arteriosclerosis
Calcium channels
Case Report
Case reports
Computed tomography
coronary artery
Nitrate
Reviews
Stenosis
Ultrasound
Vasoconstriction
내과학
Coronary vasospasm
Coronary vessels
Interventional ultrasonography
Computed tomography, spiral
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ISSN1738-5520
1738-5555
1738-5555
DOI10.4070/kcj.2011.41.1.43

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Summary: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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ISSN:1738-5520
1738-5555
1738-5555
DOI:10.4070/kcj.2011.41.1.43