Occlusive Spasm of the Left Anterior Descending Artery and First Diagonal Branch After Implantation of Everolimus Eluting Stents Without Re-stenosis in a Female Patient with Resting Angina

摘要

Introduction Myocardial ischemia and angina pectoris can be caused by various mechanisms such as coronary atherosclerosis,vasospasm or coronary microvascular dysfunction[1].We here report a case of a56-year-old female patient with a history of previous percutaneous coronary interventions(PCI)who reported repetitive attacks of resting angina.Coronary risk factors included hypertension,hypercholesterolemia(LDL=97 mg/dL on atorvastatin),ex-smoker(ceased 2013),and a positive family history(fatal myocardial infarction in father aged52years and brother 59 years).