title: [Complex coronary artery disease due to coronary spasm and atherosclerotic lesions - a case report].
abstract: We present a case of 55-year old man with a complex form of ischaemic heart disease. Except a significant narrowing of the circumflex coronary branch, a spasm of several branches of left coronary artery was found. The percutaneous balloon angioplasty and a modification of pharmacological treatment (introduction of nitrates and Ca-blockers) was effective. Clinical aspects and possible mechanisms of coronary artery spasm are discussed.
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D003324:Coronary Artery Disease / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D023921:Coronary Stenosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology*