ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Resistant spontaneous coronary artery spasm [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2015; 43(7): 637-639 | DOI: 10.5543/tkda.2015.67763

Resistant spontaneous coronary artery spasm

Kudret Keskin1, Alparslan Şahin2, Süleyman Sezai Yıldız1, Gökhan Aksan1
1Department of Cardiology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul
2Department of Cardiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul

Coronary artery spasm should always be suspected in patients who have myocardial infarction with normal coronary arteries. This case report presents a 33-yearold woman with anterior myocardial infarction, whose coronary angiograph revealed normal left anterior descending artery and new onset complete occlusion of the circumflex artery at the time of the procedure. Nitroglycerin up to 800 mcg was administered without success. In such resistant cases, when all efforts fail, including prompt recognition and application of vasodilator drugs, retracting the catheter and waiting may play a role.

Keywords: Coronary angiography, coronary spasm, myocardial infarction

How to cite this article
Kudret Keskin, Alparslan Şahin, Süleyman Sezai Yıldız, Gökhan Aksan. Resistant spontaneous coronary artery spasm. Turk Kardiyol Dern Ars. 2015; 43(7): 637-639

Corresponding Author: Kudret Keskin, Türkiye
Manuscript Language: English


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