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Single coronary artery with spasm

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Abstract

A single coronary artery is a rare and potentially serious anomaly. We present the case of a 54-year-old woman with chest pain predominantly at rest. A single coronary artery was demonstrated by 64-row multidetector computed tomography (CT) imaging, which is useful for the diagnosis and classification of coronary anomaly. In our case, no coronary artery stenosis was demonstrated on CT angiographic images, and totally occlusive coronary spasm was confirmed by intracoronary infusion of acetylcholine.

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References

  1. Kuon E, Ropers D. Single coronary artery—a rarity in the catheterization laboratory: case report and current review. Can J Cardiol 2004;20:647–651.

    PubMed  Google Scholar 

  2. Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002;105:2449–2454.

    Article  PubMed  Google Scholar 

  3. Maejima Y, Yasu T, Fujiwara N, Ishida T, Kobayashi Y, Kuroki M, et al. Vasospastic total occlusion at the left main tract in a single coronary artery. Jpn Circ J 2001;65:1091–1092.

    Article  PubMed  CAS  Google Scholar 

  4. Neimann JL, Balaud A, Danchin N, Preiss MA, Christophe P, Cherrier F. Spasm in a single coronary artery. Arch Mal Coeur Vaiss 1985;78:939–942.

    PubMed  CAS  Google Scholar 

  5. Menke DM, Jordan MD, Aust CH, Waller BF. Isolated and severe left main coronary atherosclerosis and thrombosis: a complication of acute angle takeoff of the left main coronary artery. Am Heart J 1986;112:1319–1320.

    Article  PubMed  CAS  Google Scholar 

  6. Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000;35:1493–1501.

    Article  PubMed  CAS  Google Scholar 

  7. Sueda S, Ochi N, Kawada H, Matsuda S, Hayashi Y, Tsuruoka T, et al. Frequency of provoked coronary vasospasm in patients undergoing coronary arteriography with spasm provocation test of acetylcholine. Am J Cardiol 1999;83:1186–1190.

    Article  PubMed  CAS  Google Scholar 

  8. Utsunomiya D, Nishiharu T, Urata J, Ino M, Nakao K, Awai K, et al. Coronary arterial malformation depicted at multi-slice CT angiography. Int J Cardiovasc Imaging 2006;22:547–551.

    Article  PubMed  Google Scholar 

  9. Hague C, Andrews G, Forster B. MDCT of a malignant anomalous right coronary artery. AJR Am J Roentgenol 2004;182:617–618.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Diagnostic Imaging Center, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Kumamoto, 861-4193, Japan

    Daisuke Utsunomiya

  2. Cardiovascular Medicine, Saiseikai Kumamoto Hospital, Kumamoto, Japan

    Koichi Nakao

  3. Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan

    Yasuyuki Yamashita

Authors
  1. Daisuke Utsunomiya
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  2. Koichi Nakao
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  3. Yasuyuki Yamashita
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Corresponding author

Correspondence to Daisuke Utsunomiya.

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Utsunomiya, D., Nakao, K. & Yamashita, Y. Single coronary artery with spasm. Radiat Med 26, 309–312 (2008). https://doi.org/10.1007/s11604-008-0225-z

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  • DOI: https://doi.org/10.1007/s11604-008-0225-z

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