IJCEM Copyright © 2008-All rights reserved. Published by e-Century Publishing Corporation, Madison, WI 53711
Int J Clin Exp Med 2013;6(10):1001-1005

Case Report
Optical coherence tomography reveals a non-spasm pseudo-coronary artery
stenosis: a case report and review of literature

Yi-Ping Wang, Jinfa Jiang, Ming Luo, Zhaohui Hu, Bing Sun, Hua-Ming Cao

Department of Cardiology, Tongji Hospital of Tongji University, Xincun Road 289, Shanghai, 200065, China; Department of Cardiology,
Affiliated Wuxi People’s Hospital of Nanjing Medical University, Qingyang Road 299, Wuxi, Jiangsu, 214023, China

Received October 14, 2013; Accepted October 24, 2013; Epub October 25, 2013; Published October 30, 2013

Abstract: We described a case of angiographic stenosis that was highly suitable for stenting and it remained even after repeated
intracoronary administration of nitroglycerin. However, optical coherence tomography showed the stenosis disappeared and the artery
wall was smooth. It was therefore speculated that this was a just non-spasm pseudo-coronary artery stenosis. We hope that sharing
this experience can aid cardiologists to avoid unnecessary implantation of stents. (IJCEM1310019).

Keywords: Optical coherence tomography, coronary spasm, coronary angiography, laminar flow

Address correspondence to: Dr. Hua-Ming Cao, Department of Cardiology, Affiliated Wuxi People’s Hospital of Nanjing Medical
University, Qing-Yan Road 299, Wuxi, Jiangsu, 214023, China. Tel: +86-0510-85351131; Fax: +86-0510-85351131; E-mail:
huamingcao@126.com