Stent implantation for diffuse and multiple coronary spasm in a patient with variant angina refractory to optimal medical therapy.
A patient with variant angina presented complaining of frequent morning chest pain refractory to maximal doses of 5 vasodilator agents. His condition was complicated by a drug eruption due to a side effect of the calcium antagonist. Coronary angiography showed no organic stenosis, but a challenge test revealed multiple and diffuse coronary artery spasms at the right coronary artery and the left anterior descending artery. A total of 5 stents were implanted for full coverage of the spastic segments. Spasm could not be provoked by repeating the challenge test after stenting. He has been asymptomatic for 8 months since the procedure.
Sugimoto
Atsuhiko
A
Department of Internal Medicine, Division of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Morino
Yoshihiro
Y
Ikari
Yuji
Y
D000368:Aged; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D002121:Calcium Channel Blockers / Q000009:adverse effects; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D003331:Coronary Vessels; D003875:Drug Eruptions; D004351:Drug Resistance; D004562:Electrocardiography; D006801:Humans; D008297:Male; D015607:Stents
D002121:Calcium Channel Blockers