PMC6614985_01
(a) Right coronary angiography documenting coronary spasms at the proximal tract. (b) Angiography performed after intracoronary administration of isosorbide dinitrate documenting coronary spasm resolution.
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fig1
Coronary angiography showed a significant stenosis of the right proximal coronary artery (Figure 1(a)), due to coronary spasm, as the administration of isosorbide dinitrate 2 mg induced rapid resolution of the stenosis (Figure 1(b)), remission of angina, and normalization of the altered ECG.
PMC6614985_02
(a) Coronary angiography showing the presence of thrombosis of the middle segment of the AIV coronary artery. (b) Resolution of critical stenosis.
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fig2
Ck-MB 92 ng/mL, and WBC count 22,650 cells/uL; eosinophils and basophils were normal. Coronary arteriography showed a subocclusion of the anterior descending branch of the left coronary artery (Figure 2(a)).
PMC6614985_03
(a) Coronary angiography showing the presence of thrombosis of the middle segment of the AIV coronary artery. (b) Resolution of critical stenosis.
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fig2
Ck-MB 92 ng/mL, and WBC count 22,650 cells/uL; eosinophils and basophils were normal. Coronary arteriography showed a subocclusion of the anterior descending branch of the left coronary artery (Figure 2(a)).
(a) Coronary arteriography showing subocclusion of the anterior descending branch of the left coronary artery. (b) Resolution of the subocclusion.
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fig3
Treatment consisted of emergency primary PTCA and drug-eluting stents of the proximal and middle segment of the anterior interventricular artery, with resolution of the subocclusion (Figure 3(b)).