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Angiology
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Simultaneous Multivessel Coronary Spasm Causing Acute Myocardial Infarction

A Case Report

Hidenori Saito, MD

Division of Cardiology, Memorial Heart Center, Iwate Medical University, Iwate Japan

Tomonori Itoh, MD

Division of Cardiology, Memorial Heart Center, Iwate Medical University, Iwate Japan, t_itoh{at}imu.ncvc.go.jp

Masahiro Itoh, MD

Division of Cardiology, Memorial Heart Center, Iwate Medical University, Iwate Japan

Yoshinori Kanaya, MD

Division of Cardiology, Memorial Heart Center, Iwate Medical University, Iwate Japan

Tomomi Suzuki, MD

Division of Cardiology, Memorial Heart Center, Iwate Medical University, Iwate Japan

Katsuhiko Hiramori, MD

Division of Cardiology, Memorial Heart Center, Iwate Medical University, Iwate Japan

Spontaneous simultaneous multivessel coronary artery spasm in patients with acute myocar-dial infarction (AMI) is uncommon. A 79-year-old Japanese man was transferred to this hospital because of severe prolonged chest pain and faintness. Left coronary angiography revealed total occlusion of the left anterior descending and the left circumflex coronary arteries. Moreover, right coronary angiography revealed 99% stenosis of the right coronary artery. After intracoronary administration of nicorandil, left coronary artery and right coronary artery angiography revealed no organic stenosis or thrombus. This is the first report in which simultaneous 3-vessel spasm was documented by emergency angiography in AMI.

Angiology, Vol. 58, No. 1, 112-117 (2007)
DOI: 10.1177/0003319706297967
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