Acute Coronary Syndrome Due to Complete Spontaneous Vasospasm of Left Coronary Artery System

Year 2016, Volume: 19 Issue: 3, 199 - 200, 01.12.2016

Musluhittin Emre Erkuş , Halil Altıparmak Zekeriya Kaya Özgür Günebakmaz Yusuf Sezen Recep Demirbağ

Abstract

Coronary
artery vasospasm is rare and may appear as focal or diffuse vasospasm
throughout the coronary artery tree. We present a case of unstable angina with
complete occlusion of the proximal left anterior descending artery and
circumflex coronary artery due to severe diffuse coronary vasospasm, as
demonstrated on coronary angiography. The patient was successfully treated with
intracoronary bolus of nitroglycerin with restoration of flow in left coronary
system. 

Keywords

Coronary vasospasm, diagnostic coronary angiography

References

• 1. Prinzmetal M, Kennamer R, Merliss R. A variant form of angina pectoris. Am J Med 1959;27:375-88.
• 2. Bertrand ME, LaBlanche JM, Tilmant PY, Thieuleux FA, Delforge MR, Carre AG, et al. Frequency of provoked coronary arterial spasm in 1089 consecutive patients undergoing coronary arteriography. Circulation 1982;65:1299-306.
• 3. Bell MR, Lapeyre AC 3rd, Bove AA. Angiographic demonstration of spontaneous diffuse three vessel coronary artery spasm. J Am Coll Cardiol 1989;14:523-7.
• 4. Sahin DY, Içen YK. Diffuse coronary spasm mimicking acute thrombosis after stent implantation. Anadolu Kardiyol Derg 2011;11:E29-30.
• 5. Kinlay S. Coronary artery spasm as a cause of angina. Circulation 2014;129:1717-9.
• 6. Kuçukosmanoglu M, Sincer I, Vuruskan E. Cardiopulmonary arrest caused by diffuse coronary artery spasm due to balloon dilatation: case report.Turkiye Klinikleri J Cardiovasc Sci 2013;25:166-70.