PMC5676795_01
Angiogram with right anterior oblique (RAO)-caudal projection of the saphenous vein graft bypassing the first diagonal artery revealing severe spasm (dashed arrow) of the proximal portion of the graft.
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In the proximal aspect of this vein graft severe spasm was noted in multiple fluoroscopic projections and was associated with chest pain (Figure 1).
Angiogram with RAO-caudal projection depicting resolution of saphenous vein graft spasm (solid arrow) after Intracoronary (IC) administration of nitroglycerin.
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The patient's symptoms and spasm resolved after administration of intracoronary (IC) nitroglycerine (Figure 2).