Literature DB >> 21359069

Isolated left main coronary artery spasm detected by multidetector computed tomography.

Min-Kyung Kang1, Young-Hoon Jeong, Seong-Eun Yoon, Jin-Sin Koh, Kwon Tae Jung, Yongwhi Park, Seok-Jae Hwang, Choong-Hwan Kwak, Kyung-Nyeo Jeon, Jin-Yong Hwang.   

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.

Entities:  

Keywords:  Computed tomography, spiral; Coronary vasospasm; Coronary vessels; Interventional ultrasonography

Year:  2011        PMID： 21359069      PMCID： PMC3040403          DOI： 10.4070/kcj.2011.41.1.43

Source DB:  PubMed          Journal:  Korean Circ J        ISSN： 1738-5520            Impact factor:   3.243


  7 in total

1.  Catheter-induced left main coronary artery spasm.

Authors:  Neeraj Parakh; Sandeep Singh; Ravi S Math; Sanjiv Sharma; Vinay K Bahl
Journal:  J Cardiovasc Med (Hagerstown)       Date:  2009-03       Impact factor: 2.160

2.  Spontaneous and simultaneous multivessel coronary spasm causing multisite myocardial infarction, cardiogenic shock, atrioventricular block, and ventricular fibrillation.

Authors:  Yao-Tsung Chuang; Kwo-Chang Ueng
Journal:  Circ J       Date:  2009-01-27       Impact factor: 2.993

3.  CT angiography unmasking catheter-induced spasm as a reason for left main coronary artery stenosis.

Authors:  Tobias Pflederer; Mohamed Marwan; Dieter Ropers; Werner G Daniel; Stephan Achenbach
Journal:  J Cardiovasc Comput Tomogr       Date:  2008-10-10

Review 4.  Coronary artery spasm--clinical features, diagnosis, pathogenesis, and treatment.

Authors:  Hirofumi Yasue; Hitoshi Nakagawa; Teruhiko Itoh; Eisaku Harada; Yuji Mizuno
Journal:  J Cardiol       Date:  2008-02-01       Impact factor: 3.159

5.  Impact of intravascular ultrasound guidance on long-term mortality in stenting for unprotected left main coronary artery stenosis.

Authors:  Seung-Jung Park; Young-Hak Kim; Duk-Woo Park; Seung-Whan Lee; Won-Jang Kim; Jon Suh; Sung-Cheol Yun; Cheol Whan Lee; Myeong-Ki Hong; Jae-Hwan Lee; Seong-Wook Park
Journal:  Circ Cardiovasc Interv       Date:  2009-04-21       Impact factor: 6.546

6.  Gender differences among korean patients with coronary spasm.

Authors:  Ju Hwan Lee; Hyunsang Lee; Myung Hwan Bae; Yong Seop Kwon; Jang Hoon Lee; Hyeon Min Ryu; Yongwhi Park; Dong Heon Yang; Hun Sik Park; Yongkeun Cho; Shung Chull Chae; Jae-Eun Jun; Wee-Hyun Park
Journal:  Korean Circ J       Date:  2009-10-28       Impact factor: 3.243

7.  Recent insights into the mechanisms of vasospastic angina.

Authors:  Sang-Yong Yoo; Jang-Young Kim
Journal:  Korean Circ J       Date:  2009-12-30       Impact factor: 3.243
  7 in total

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