Korean Circ J.
2011 Jan;41(1):43-45. 10.4070/kcj.2011.41.1.43.
Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography
- Affiliations
-
- 1Division of Cardiology, Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea. goodoctor@naver.com
- 2Department of Radiology, Gyeongsang National University College of Medicine, Jinju, Korea.
- KMID: 2225154
- DOI: http://doi.org/10.4070/kcj.2011.41.1.43
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.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A Case of Spontaneous Left Main Coronary Artery Spasm of Anomalous Origin of Left Main Coronary Artery
- Anomalous Origin of the Left Circumflex Coronary Artery from the Right Sinus of Valsalva Identified by Imaging with Multidetector Computed Tomography
- A Single Coronary Artery: Right Coronary Artery Originating From the Distal Left Circumflex Artery
- A Single Coronary Artery with the Right Coronary Artery Originating from the Left Anterior Descending Artery Detected by Cardiac CT: A Case Report
- Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Initially Visualized by Echocardiography and Multidetector Computed Tomography Coronary Angiography
