Two cases with spontaneous spasm of left main trunk.

Spontaneous left main coronary artery spasm and intravascular ultrasonography findings

Vasospasm causes an abrupt and temporary occlusion in coronary arteries in patients with normal coronary arteries. Nonetheless, vasospasm of the left main coronary artery is unusual and can be spontaneous or iatrogenic. We herein report a very rare cause of temporary spasm of LMCA, which resulted in vasospastic angina and anginal chest pain. Intravascular ultrasonography should be considered as...

Treatment of Spontaneous Left Main Coronary Artery Spasm with a Drug-Eluting Stent

Variant angina due to spontaneous left main trunk spasm is rarely reported in the literature. Despite intensive medical treatment or surgical intervention, patients may still suffer from recurrent symptoms. We describe a 70-year-old male patient who had spontaneous left main coronary artery spasm with recurrent angina. The patient was successfully treated with a drug-eluting stent and remained ...

Spontaneous Left Main and Right Coronary Artery Spasm in a Patient With Vasospastic Angina

Coronary spasm is a well-documented, though rare, condition that can mimic myocardial infarction and is usually found in only a single vessel during an event. We describe the case of a 43-year-old male with past medical history of hypertension, hyperlipidemia, tobacco abuse, and with no known coronary disease. The patient developed chest pain 3 days postadmission for primary diagnosis of psychi...

[Clinical features of left main trunk disease. Analysis of 15 cases].

Spontaneous diffuse vasospasm simultaneously found at left main trunk, left anterior descending, left circumflex and right coronary arteries

Coronary artery spasm (CAS) is found not only in Asian but also in white patients. CAS can lead to angina pectoris, myocardial infarction, ventricular arrhythmias and sudden cardiac death. But CAS diagnosis is not necessarily easy, and it also remains highly challenging to therapy and prevention. We present a spontaneous extensive-CAS case with typical clinical features of acute myocardial infa...