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


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.


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

MeSH Terms

Chest Pain
Constriction, Pathologic
Coronary Angiography
Coronary Artery Disease*
Coronary Disease
Coronary Vessels*
Follow-Up Studies
Takayasu Arteritis
Tomography, Emission-Computed, Single-Photon
Full Text Links
  • KCJ
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2023 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr