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Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography

Authors
Kang, Min-KyungJeong, Young-HoonYoon, Seong-EunKoh, Jin-SinJung, Kwon TaePark, YongwhiHwang, Seok-JaeKwak, Choong-HwanJeon, Kyung-NyeoHwang, Jin-Yong
Issue Date
Jan-2011
Publisher
대한심장학회
Keywords
Coronary vessels; Coronary vasospasm; Computed tomography, spiral; Interventional ultrasonography
Citation
Korean Circulation Journal, v.41, no.1, pp 43 - 45
Pages
3
Indexed
SCOPUS
KCI
Journal Title
Korean Circulation Journal
Volume
41
Number
1
Start Page
43
End Page
45
URI
https://scholarworks.gnu.ac.kr/handle/sw.gnu/23891
DOI
10.4070/kcj.2011.41.1.43
ISSN
1738-5520
1738-5555
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.
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