Document Detail

Vasospastic total occlusion at the left main tract in a single coronary artery.
MedLine Citation:
PMID:  11768005     Owner:  NLM     Status:  MEDLINE    
A 64-year-old man was admitted to hospital under the suspicion of unstable angina pectoris. Coronary angiography showed that he has a single coronary artery originating from the right coronary artery (RCA) without significant fixed stenosis. Acetylcholine was superselectively infused into the left main coronary artery (LMCA), and confirmed the coronary vasospastic occlusion associated with chest pain and elevation of the ST-segment in the precordial leads. This is the first report of the induction of a totally occlusive spasm of the LMCA of a patient with a RCA type single coronary artery, and this case suggests that spasm of the aberrant coronary artery is a potential mechanism for sudden death in patients with a single coronary artery.
Y Maejima; T Yasu; N Fujiwara; T Ishida; Y Kobayashi; M Kuroki; N Kubo; M Fujii; M Saito
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  65     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-12-20     Completed Date:  2002-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1091-2     Citation Subset:  IM    
Department of Integrated Medicine I, Omiya Medical Center, Jichi Medical School, Saitama, Japan.
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MeSH Terms
Angina Pectoris, Variant / pathology*
Coronary Angiography*
Coronary Thrombosis / radiography*
Coronary Vessels / pathology*
Middle Aged
Tomography, X-Ray Computed

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