Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography

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SCOPUS

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초록

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.

키워드

Coronary vessels; Coronary vasospasm; Computed tomography, spiral; Interventional ultrasonography
제목
Isolated Left Main Coronary Artery Spasm Detected by Multidetector Computed Tomography
저자
Kang, Min-Kyung; Jeong, Young-Hoon; Yoon, Seong-Eun; Koh, Jin-Sin; Jung, Kwon Tae; Park, Yongwhi; Hwang, Seok-Jae; Kwak, Choong-Hwan; Jeon, Kyung-Nyeo; Hwang, Jin-Yong
DOI
10.4070/kcj.2011.41.1.43
발행일
2011-01
유형
Article
저널명
Korean Circulation Journal
권
41
호
1
페이지
43 ~ 45