Multivessel coronary spasm during coronary angiography: coronary vasospastic disease

Postpartum Coronary Vasospasm with Literature Review

“…Han et al presented a case whereby a 50-year-old female presented with chest pain, usually occurring at rest in the morning, and following ergonovine provocation test, diffuse three-vessel coronary artery spasm was identified [48]. In a different presentation, Gowda et al submitted a case of a 56-year-old male patient that presented with recurrent exertional angina pectoris with multivessel coronary vasospasm seen during cardiac catheterization that was considered partly spontaneous and partly catheter-induced due to the mechanical irritation [49]. Also, Van Spall et al showed a case of 68-year-old male with no prior history of coronary artery disease presenting with epigastric pain and found to have diffuse ST segment elevation on EkG.…”

Diffuse three-vessel coronary artery spasm

“…Most patients with variant angina show focal or diffuse single or multivessel coronary artery spasm, but diffuse three-vessel coronary artery spasm among patients with variant angina has been rarely reported [5,6]. One recent paper reported a case where severe, diffuse spasm of the entire left anterior descending artery and circumflex coronary artery during coronary angiography, however, right coronary artery was not vasospastic [7]. The mechanism of coronary artery spasm remains unclear, but multiple factors may contribute.…”

The importance of intraoperative angiographic findings for predicting long-term patency in coronary artery bypass operations

“…These on-table findings can be due to localized spasm or temporary changes like thrombosis formation, edema or hematomas in the vessel wall. Spasm can be catheter-induced, spontaneous or due to surgical manipulation, [96][97][98][99] but the main cause of intraoperative spasm is probably the surgical manipulation of the arteries. Spasm was found in as many as 50% of the grafts, disappearing at follow-up.…”