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Angiology
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Appearance of Collateral Circulation in the Absence of Total Occlusive Spastic Coronary Artery

A Case Report

Chi-Wen Cheng, MD

Cardiology Section, Department of Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan

Ming-Jui Hung, MD, FACA

Cardiology Section, Department of Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan, ruby800{at}cgmh.org.tw

Li-Tang Kuo, MD

Cardiology Section, Department of Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan

Wen-Jin Cherng, MD, FACC

Cardiology Section, Department of Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan

Development of coronary collateral vessels is described in a patient with coronary artery spasm associated with ST-segment depression. The collateral vessels disappeared after spasm was relieved and the ST segment was normalized, suggesting that the collateral vessels occurred during coronary artery spasm and were localized to the perfused ischemic area to prevent transmural myocardial ischemia.

Angiology, Vol. 56, No. 3, 331-334 (2005)
DOI: 10.1177/000331970505600314


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