Document Detail

Angiographic and pathologic correlations in Prinzmetal variants angina.
MedLine Citation:
PMID:  686483     Owner:  NLM     Status:  MEDLINE    
The coronary-arteriographic and pathologic findings in a case of Prinzmetal's angina are reported. Right coronary arteriograms performed in the absence of pain showed only minor stenotic changes, whereas those performed during an anginal attack revealed a spastic occlusion involving almost the entire vessel. Anatomic examination revealed obstructive lesions of the right coronary artery, more pronounced at the site where spasm had started, due to concentric atherosclerotic thickening of the inner wall, whereas the elastic fibers and the muscular ring of the tunica media were preserved. These findings suggest (1) the need for great caution before assuming on purely angiographic bases that spasm may affect a normal coronary artery and (2) the possibility that spasm occurs in a markedly diseased and stenotic segment of a coronary artery as long as the contractile tissue of the tunica media is preserved.
P Rizzon; L Rossi; P Calabrese; G Franchini; M DiBiase
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Angiology     Volume:  29     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1978 Jun 
Date Detail:
Created Date:  1978-10-18     Completed Date:  1978-10-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  486-90     Citation Subset:  IM    
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MeSH Terms
Angina Pectoris* / pathology
Angina Pectoris, Variant* / pathology,  radiography
Coronary Angiography
Coronary Vessels / pathology
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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