Do not forget: coronary spasm does exist!

A 36-year old woman was proposed for urgent revascularization for severe left coronary disease with left main involvement diagnosed in the setting of acute coronary syndrome with ST-elevation. Considering the patient’s age and gender, coronariography was repeated under vasodilator therapy (Fig. 1, Supplementary Video 1 and 2). Coronary spasm was revealed. Supplementary material is available at EJCTS online. Video 1: We can observe diffuse and tight left coronary stenosis with left main involvement. Video 2: Left coronary angiography shows full resolution of the previous stenosis.