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.
Coronarography performed in a tertiary hospital showed diffuse and tight left coronary stenosis with left main involvement (A) and a normal right coronary artery. The study performed 48 h later under oral vasodilator therapy (isosorbide mononitrate 30 mg id and Nifedipine 10 mg 4id) showed total resolution of the left coronary stenosis (B).
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.
