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Stenting and Surgery for Coronary Vasospasm

The Wrong Solution Fails to Solve the Problem

Stenting und Chirurgie bei Koronarspasmus. Mit der falschen Wahl misslingt die Lösung des Problems

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Abstract

A 55-year-old man, with a history of medically uncontrolled coronary vasospasm, presented for evaluation of chest pain 6 months after implantation of left internal mammary artery. Due to recurrent episodes of vasospastic angina and serious complications of coronary spasm (ventricular fibrillation, myocardial infarction), a stent had previously been implanted in the proximal part of left anterior descending artery at the site of angiographically and ergonovine-proven coronary spasm, with subsequent in-stent restenosis.

Zusammenfassung

Ein 55-jähriger Patient mit therapeutisch unkontrollierbaren koronaren Vasospasmen wurde 6 Monate nach Implantation der linken A. mammaria interna zur Abklärung von Brustschmerzen vorstellig. We - gen der wiederholten vasospastischen Anfälle und Komplikationen mit Kammerflimmern und Myokardinfarkt war zuvor ein Stent in die proximale LAD implantiert worden mit nachfolgender In-Stent- Restenose, nachdem angiographisch und mittels Ergonovintest schwere Koronarspasmen festgestellt worden waren.

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Authors and Affiliations

  1. Department of Diagnostic and Catheterization Laboratories, University Institute for Cardiovascular Diseases, Clinical Center of Serbia, Belgrade, Serbia and Montenegro

    Milan A. Nedeljkovic, Miodrag Ostojic MD, PhD, Branko Beleslin, Ivana Nedeljkovic, Miljko Ristic, Vojislav Giga, Miloje Tomasevic & Vladimir Kanjuh

  2. University Institute for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Belgrade, Serbia and Montenegro

    Nebojsa Lalic & Katarina Lalic

  3. Institute for Cardiovascular Diseases “Dedinje”, Clinical Center of Serbia, Belgrade, Serbia and Montenegro

    Lazar Angelkov

  4. Department of Diagnostic and Catheterization Laboratories, University Institute for Cardiovascular Diseases, Clinical Center of Serbia, 8 Koste Todorovica, 11000, Belgrade, Serbia and Montenegro

    Miodrag Ostojic MD, PhD

Authors
  1. Milan A. Nedeljkovic
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  2. Miodrag Ostojic MD, PhD
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  3. Nebojsa Lalic
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  4. Branko Beleslin
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  5. Ivana Nedeljkovic
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  6. Katarina Lalic
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  7. Miljko Ristic
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  8. Vojislav Giga
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  9. Lazar Angelkov
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  10. Miloje Tomasevic
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  11. Vladimir Kanjuh
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Corresponding author

Correspondence to Miodrag Ostojic MD, PhD.

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Nedeljkovic, M.A., Ostojic, M., Lalic, N. et al. Stenting and Surgery for Coronary Vasospasm. Herz 34, 564–566 (2009). https://doi.org/10.1007/s00059-009-3228-3

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  • DOI: https://doi.org/10.1007/s00059-009-3228-3

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