A young adult presenting with ST elevation myocardial infarction due to a persistent spasm of proximal left descending artery: An image focus

Benahmed I, Laachach H, Ismaili N, N. El-Ouafi N

Coronary Artery Vasospasm (CVS) is an important mechanism of myocardial ischemia and produces any of the manifestations of coronary artery disease from silent myocardial ischemia, to effort-induced angina and variant angina, to acute coronary syndrome including myocardial infarction or sudden cardiac death. We report a case of a 28-year-old-patient, smoker, who presented with ST segment myocardial infarction (STEMI). Coronary angiography revealed a persistent spasm in proximal segment of left descending artery resolved after injecting intracoronary nitroglycerine. Intra and extra-hospital outcome were favorable.