Coronary arterial spasm detected by coronary computed tomography angiography and confirmed by intravascular ultrasound
| Autor: | Akifumi Watanabe, Takashi Uchiyama, Sonoka Goto, Masafumi Nakayama, Masaharu Hirano |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty lcsh:R895-920 ST elevation 030204 cardiovascular system & hematology Chest pain Coronary artery disease Angina 03 medical and health sciences 0302 clinical medicine Internal medicine Intravascular ultrasound medicine Coronary computed tomography angiography Radiology Nuclear Medicine and imaging 030212 general & internal medicine medicine.diagnostic_test business.industry Coronary spastic angina medicine.disease Stenosis medicine.anatomical_structure Cardiology Diltiazem hydrochloride medicine.symptom Isosorbide dinitrate business Cardiac Artery medicine.drug |
| Zdroj: | Radiology Case Reports Radiology Case Reports, Vol 13, Iss 1, Pp 14-17 (2018) |
| ISSN: | 1930-0433 |
| Popis: | A 40-year-old man was admitted to our hospital for chest pain after smoking. Coronary computed tomography angiography showed severe stenosis in the left anterior descending artery. The stenosis site had no plaque on stretched curved multiplanar reconstruction and short-axis images. Coronary angiography revealed improvement of the severe stenosis after the intracoronary administration of isosorbide dinitrate in the left anterior descending artery. Intravascular ultrasound demonstrated negative remodeling without a plaque and diffuse intima with media thickening at the stenosis site. The chest pain was likely caused by coronary spastic angina, which was treated with diltiazem hydrochloride. |
| Databáze: | OpenAIRE |
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