Cg. Pajuelo et al., Anomalous origin of the left coronary artery associated with spasm in the normal right coronary artery as a cause of angina and presyncope, REV ESP CAR, 52(2), 1999, pp. 139-141
We describe the rare association of angina at effort and presyncope in a yo
ung patient with an anomalous origin of left coronary artery and associated
coronary spasm in the normal right coronary artery. The patient did well u
nder calcium channel blocker therapy after seven years of follow-up, which
is in contrast with the usual recommended management of these patients.