Open AccessVasospastic angina mimicking graft failure and spontaneously appearing after left ventriculography
Author(s) -
Fournier J. A.,
Ández C.,
FCortacero J. A. P.,
Pi ñero C.
Publication year - 1987
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960100413
Subject(s) - medicine , cardiology , angina , vasospasm , contractility , coronary vasospasm , artery , stenosis , left coronary artery , cardiac catheterization , myocardial infarction , subarachnoid hemorrhage
A 49‐year‐old female with significant (75%) left main coronary artery stenosis was initially considered to have developed early obstruction of a saphenous vein graft to the left anterior descending coronary artery, because of recurrent postoperative angina. In a second catheterization study, left ventriculography showed normal contractility of all segments and was immediately followed by the onset of angina and angiographic demonstration of diffuse spasm of the entire left coronary artery system beyond the stenosis. Vasospasm of the left coronary artery before or during ventriculography was unlikely in the absence of regional contractility impairment. The close temporal association between the left ventricular angiogram and the angiographic demonstration of vasospasm suggested a direct cause and effect relationship.