title: [Surgical treatment of variant angina. Apropos of a clinical case].
abstract: A case of a male 66 years-old patient who presented with a clinical picture of Prinzmetal's variant angina early in the evolution of an acute myocardial infarction is reported. Transient elevation of ST-segment was documented on Holter monitoring in association with angina at rest as well as asymptomatic episodes of ST-segment changes. Significant two-vessels obstructive lesions (left anterior descending and circumflex arteries) was present. As variant angina had several recurrences in spite of medical therapy with nitrates and calcium antagonists, the patient was submitted to coronary by-pass surgery associated to plexectomy. A Thallium myocardial scintigraphy suggests that a peroperative infarction had occurred. The patient was asymptomatic at six months follow-up.
authors.forename: M E
authors.initials: ME
authors.lastname: Prazeres de Sá
authors.forename: A L
authors.initials: AL
authors.lastname: Bordalo e Sá
authors.forename: J A
authors.initials: JA
authors.lastname: Correia da Cunha
authors.forename: R
authors.initials: R
authors.lastname: de Lima
authors.forename: G
authors.initials: G
authors.lastname: Cantinho
authors.forename: C
authors.initials: C
authors.lastname: Delgado
authors.forename: J T
authors.initials: JT
authors.lastname: Soares-Costa
authors.forename: C
authors.initials: C
authors.lastname: Ribeiro
mesh_terms: D000368:Aged; D000788:Angina Pectoris, Variant / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D004562:Electrocardiography; D015716:Electrocardiography, Ambulatory; D006801:Humans; D007548:Isosorbide Dinitrate / Q000627:therapeutic use; D008297:Male
chemical_list: D007548:Isosorbide Dinitrate
vernacular_title: Terapêutica cirúrgica na angina variante. A propósito de um caso clínico.