Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8825146 | Radiology Case Reports | 2018 | 4 Pages |
Abstract
A 40-year-old man was admitted to our hospital for chest pain after smoking. Coronary computed tomography angiography showed severe stenosis in the left anterior descending artery. The stenosis site had no plaque on stretched curved multiplanar reconstruction and short-axis images. Coronary angiography revealed improvement of the severe stenosis after the intracoronary administration of isosorbide dinitrate in the left anterior descending artery. Intravascular ultrasound demonstrated negative remodeling without a plaque and diffuse intima with media thickening at the stenosis site. The chest pain was likely caused by coronary spastic angina, which was treated with diltiazem hydrochloride.
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Authors
Masafumi MD, Masaharu MD, Sonoka MD, Akifumi MD, Takashi MD,