Stenting and surgery for coronary vasospasm : the wrong solution fails to solve the problem.
A 55-year-old man, with a history of medically uncontrolled coronary vasospasm, presented for evaluation of chest pain 6 months after implantation of left internal mammary artery. Due to recurrent episodes of vasospastic angina and serious complications of coronary spasm (ventricular fibrillation, myocardial infarction), a stent had previously been implanted in the proximal part of left anterior descending artery at the site of angiographically and ergonovine-proven coronary spasm, with subsequent in-stent restenosis.
Nedeljkovic
Milan A
MA
Department of Diagnostic and Catheterization Laboratories, University Institute for Cardiovascular Diseases, Clinical Center of Serbia, Belgrade, Serbia and Montenegro.
Ostojic
Miodrag
M
Lalic
Nebojsa
N
Beleslin
Branko
B
Nedeljkovic
Ivana
I
Lalic
Katarina
K
Ristic
Miljko
M
Giga
Vojislav
V
Angelkov
Lazar
L
Tomasevic
Miloje
M
Kanjuh
Vladimir
V
D001807:Blood Vessel Prosthesis; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D003131:Combined Modality Therapy; D003329:Coronary Vasospasm / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D017211:Treatment Failure