[An anomalous origin of the left coronary artery associated with a right coronary spasm as the cause of angina and presyncope]

C Gómez Pajuelo; M A Gómez Sánchez; J F Delgado Jiménez; J C Tascón Pérez; M L Rodríguez Torras; C Sáenz de la Calzada

doi:10.1016/s0300-8932(99)74883-9

[An anomalous origin of the left coronary artery associated with a right coronary spasm as the cause of angina and presyncope]

Rev Esp Cardiol. 1999 Feb;52(2):139-41. doi: 10.1016/s0300-8932(99)74883-9.

[Article in Spanish]

Authors

C Gómez Pajuelo¹, M A Gómez Sánchez, J F Delgado Jiménez, J C Tascón Pérez, M L Rodríguez Torras, C Sáenz de la Calzada

Affiliation

¹ Servicio de Cardiología, Hospital Universitario 12 de Octubre, Madrid.

PMID: 10073098
DOI: 10.1016/s0300-8932(99)74883-9

Abstract

We describe the rare association of angina at effort and presyncope in a young patient with an anomalous origin of left coronary artery and associated coronary spasm in the normal right coronary artery. The patient did well under calcium channel blocker therapy after seven years of follow-up, which is in contrast with the usual recommended management of these patients.

Publication types

Case Reports
English Abstract
Review

MeSH terms

Adult
Angina Pectoris / diagnosis
Angina Pectoris / drug therapy
Angina Pectoris / etiology*
Calcium Channel Blockers / therapeutic use
Coronary Vasospasm / complications*
Coronary Vasospasm / diagnosis
Coronary Vasospasm / drug therapy
Coronary Vessel Anomalies / complications*
Coronary Vessel Anomalies / diagnosis
Coronary Vessel Anomalies / drug therapy
Drug Therapy, Combination
Humans
Male
Nifedipine / administration & dosage
Physical Exertion
Prognosis
Sinus of Valsalva / abnormalities
Syncope / diagnosis
Syncope / drug therapy
Syncope / etiology*
Verapamil / administration & dosage

Substances

Calcium Channel Blockers
Verapamil
Nifedipine