[Coronary spastic angina refractory to optimal medical therapy treated by angioplasty and stenting. A case report and review of literature].
Medical treatment of coronary spastic angina is based classically on the association of calcium channel blockers with nitrate derivatives. Some clinical forms of spastic angina remain refractory to these medications and can thus lead to serious complications (sudden cardiac death secondary to ventricular rhythm disturbance, myocardial infarction...). When the coronary spasm is focal, percutaneous coronary angioplasty with deployment of a stent can offer an interesting therapeutic alternative. We report in this article the case of a patient who had a focal spasm of the right coronary artery, which became refractory to optimal medical treatment. This patient was well improved by percutaneous angioplasty with deployment of a stent in the spastic segment of the right coronary artery. We propose also a review of the literature of the treatment of this pathology, which still remains not well codified.
Hajlaoui
N
N
Service de cardiologie, hôpital Lariboisière, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France. nadhem_2001@yahoo.fr <nadhem_2001@yahoo.fr>
Tarragano
F
F
Raisky
P
P
Beaufils
P
P
Henry
P
P
D000787:Angina Pectoris / Q000188:drug therapy / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D003329:Coronary Vasospasm / Q000188:drug therapy / Q000628:therapy*; D006801:Humans; D007548:Isosorbide Dinitrate / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D008981:Molsidomine / Q000627:therapeutic use; D020030:Nitric Oxide Donors / Q000627:therapeutic use; D012008:Recurrence; D015607:Stents; D014665:Vasodilator Agents / Q000627:therapeutic use; D014700:Verapamil / Q000627:therapeutic use
D002121:Calcium Channel Blockers; D020030:Nitric Oxide Donors; D014665:Vasodilator Agents; D014700:Verapamil; D008981:Molsidomine; D007548:Isosorbide Dinitrate