title: [Spasm of the left main coronary artery resistant to intracoronary vasodilators. Apropos of a case].
abstract: Coronary spasm is essentially and angiographic diagnosis. Catheter-induced spasm is frequent during coronary angiography and usually regresses after the administration of intracoronary vasodilators. The authors report a case of coronary spasm with subocclusion of the left main coronary artery: the coronary narrowing remained significant after intracoronary vasodilator therapy, suggesting an organic component. The spasm was relieved only after a prolonged intravenous infusion of isosorbide dinitrate.
authors.affiliation: Service de cardiologie, hôpital Boucicaut, Paris.
authors.forename: Y
authors.initials: Y
authors.lastname: Guérin
authors.forename: F
authors.initials: F
authors.lastname: Funck
authors.forename: M
authors.initials: M
authors.lastname: Desnos
authors.forename: M
authors.initials: M
authors.lastname: Sahnoun
authors.forename: A
authors.initials: A
authors.lastname: Hagege
authors.forename: P
authors.initials: P
authors.lastname: Aouate
authors.forename: C
authors.initials: C
authors.lastname: Guérot
mesh_terms: D000788:Angina Pectoris, Variant / Q000150:complications*; D002408:Catheters, Indwelling / Q000009:adverse effects; D017023:Coronary Angiography / Q000009:adverse effects*; D003329:Coronary Vasospasm / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007049:Iatrogenic Disease; D007269:Injections, Intra-Arterial; D007548:Isosorbide Dinitrate / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents; D007548:Isosorbide Dinitrate
vernacular_title: Spasme du tronc commun coronaire gauche, résistant aux vasodilatateurs intracoronaires. A propos d'un cas.