Left main coronary artery spasm

Rumoroso, José Ramón; Inguanzo, R; Cembellín, José Carlos; Bodegas, Andrés; Barrenetxea, J I

doi:10.1016/0167-5273(95)02410-x

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…CABG, coronary artery bypass grafting; CBC, complete blood count; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; LMCA, left main coronary artery.For example:* idiopathic,2 catheter-induced,3 cocaine-induced;4 †spontaneous,5 traumatic 6

Reference numbers for reported cases are given in the first column.

…”

Section: Discussionmentioning

confidence: 99%

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Differential diagnosis of non-atherosclerotic left main coronary artery stenosis

et al. 2009

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A left main coronary artery (LMCA) stenosis without any atherosclerotic changes elsewhere in the coronary artery tree is a rare finding, and some uncommon reasons for luminal narrowing should be considered. An unusual case of non-atherosclerotic LMCA stenosis is reported.A middle-aged patient presented with acute myocardial infarction. An immediate coronary angiography was ordered and revealed a subtotal mid LMCA stenosis. A drug-eluting stent was successfully implanted in the LMCA.Operative revascularisation was recommended. Routine surgery was performed and surprisingly revealed an extended mass of a mediastinal tumour surrounding the aortic root. Histopathological examination of the tumour revealed a poorly differentiated squamous cell carcinoma.Postoperatively, the patient was treated with chemotherapy (carboplatin and docetaxel). Five years after the first admission to our hospital, the patient died as a result of ventricular fibrillation.The differential diagnosis of non-atherosclerotic LMCA stenoses is discussed.

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Reference numbers for reported cases are given in the first column.

…”

Section: Discussionmentioning

confidence: 99%

“…LMCA spasms have been described as idiopathic,2 catheter-induced3 and cocaine-induced 4. In most cases LMCA stenosis can be diagnosed by intracoronary application of nitroglycerine, leading to reduction of luminal narrowing 2.…”

Section: Discussionmentioning

confidence: 99%

Differential diagnosis of non-atherosclerotic left main coronary artery stenosis

et al. 2009

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“…5 But, spasm of the LMCA is very rare. 6,7 In this article, we report the first case, to our knowledge, of ST-segment elevation in lead aVR due to diffuse LMCA spasm without fixed stenosis.…”

Section: Introductionmentioning

confidence: 90%

ST‐segment Elevation in Lead Augmented Vector Right may also be Caused by Diffuse Left Main Coronary Artery Vasospasm Without Fixed Stenosis

Duygu

Yavuzgil

Ertürk

et al. 2008

Clinical Cardiology

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ST‐segment deviation in lead augmented vector right (aVR) is useful for evaluating patients with acute coronary syndrome (ACS). The ST‐segment elevation in this aVR in the patient with clinically suspected acute coronary syndrome suggests a strong possibility of left main coronary artery (LMCA) obstruction due to fixed stenosis. In this article, we report the first case, to our knowledge, of ST‐segment elevation in lead aVR due to diffuse LMCA spasm. Copyright © 2008 Wiley Periodicals, Inc.

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