Korean Circ J.  1999 Apr;29(4):415-418. 10.4070/kcj.1999.29.4.415.

A Case of Left Main Coronary Artery Disease Treated with Medication

• Kim GY
• Jang GS
• Hong SP
• Youn SJ
• Kim YK
• Kim HJ

• KMID: 1545248
• DOI: http://doi.org/10.4070/kcj.1999.29.4.415

Abstract

We report a case of 34-year-old woman who had left main coronary artery disease and treated with medication only. She was presented with severe chest pain. Isolated left main coronary disease was demonstrated on selective left coronary angiography. There was no regional wall motion abnormality on echocardiogram with normal global LV systolic function. We considered the lesion as a varient of Takayasu's arteritis. So with anti-anginal medication, treatment started with steroid therapy. After then there was no chest pain. We performed follow-up coronary angiography after 1 month and 3 month in which revealed improved left main lesion. Since then there was no subjective symptom and Thallium-201 SPECT revealed no significant ischemic finding. We think that this case's underlying disease is may be Takayasu's arteritis which has isolated left main stenosis without systemic involvement and improved with medical treatement only.

Keyword

Isolated left main disease; Takayasu's arteritis; Steroid therapy

MeSH Terms

Adult
Chest Pain
Constriction, Pathologic
Coronary Angiography
Coronary Artery Disease*
Coronary Disease
Coronary Vessels*
Female
Follow-Up Studies
Humans
Takayasu Arteritis
Tomography, Emission-Computed, Single-Photon