PMC6320451_01
Coronary angiograms before and after intracoronary nitroglycerin; (A) left coronary angiogram with a tubular severe stenosis in the distal LAD and a subtotal occlusion of the first diagonal; (B) left coronary angiogram after intracoronary nitroglycerin injection; the spasm in the distal LAD is completely relieved, the subtotal occlusion of the diagonal is partially improved; (C) right coronary artery (RCA) with patent stent in the proximal segment and diffuse severe stenosis in the mid to distal vessel; (D) RCA after intracoronary nitroglycerin injection with complete relief of the spasm
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This time patient was treated with intracoronary nitroglycerin with relieve of symptoms (Figure 1).
Sinus tomography revealing the presence of bilateral nasal polyposis
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Samter's syndrome. Sinus tomography and a nasal endoscopy revealed the presence of bilateral nasal polyposis confirming the diagnosis of the aspirin-exacerbated respiratory disease (AERD) diagnosed as the coexistence of asthma, nasal polyps and aspirin allergy (Figure 2).