scholarly journals Allergic Inflammatory Mediated Coronary Artery Vasospasm: A Case Report of Kounis Syndrome

2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Jonathan Hullman ◽  
Jaehee Kim ◽  
Gregary Marhefka
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Kounis Syndrome ◽  
Coronary Artery Vasospasm

scholarly journals Diffuse coronary artery vasospasm in a patient with subarachnoid hemorrhage: A case report

2020 ◽  
Vol 12 (9) ◽  
pp. 468-474
Author(s):  
Dennis Grewal ◽  
Adeba Mohammad ◽  
Pooja Swamy ◽  
Islam Abudayyeh ◽  
Mamas A Mamas ◽  
...  
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Coronary Artery ◽  
Coronary Artery Vasospasm

Coronary Artery Vasospasm with Acute Myocardial Infarction in a Male Patient: Case Report

2018 ◽  
Vol 6 (5) ◽  
Author(s):  
Angelo Alencar Mello Savoldi ◽  
Alexandre Mello Savoldi ◽  
Gustavo Alexandre Dutra ◽  
Shirley Katherine Tinajero Enriquez ◽  
Gregue Marques Leite Costa
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Coronary Artery ◽  
Male Patient ◽  
Patient Case ◽  
Coronary Artery Vasospasm

scholarly journals Recurrent Coronary Artery Vasospasm in a Patient with Hepatocellular Carcinoma Treated with Sorafenib: a Case Report and Literature Review

2020 ◽  
Vol 20 (1) ◽  
pp. 67-71
Author(s):  
Dae Hyun Lim ◽  
Jai Hoon Yoon ◽  
Dae Won Jun ◽  
Oh Young Lee ◽  
Byung Chul Yoon ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Case Report ◽  
Coronary Artery ◽  
Literature Review ◽  
Coronary Artery Vasospasm

Coronary artery vasospasm after misoprostol treatment for incomplete abortion: a case report

Contraception ◽  
2019 ◽  
Vol 100 (6) ◽  
pp. 498-501 ◽  
Author(s):  
Francisca María Muñoz-Franco ◽  
Francisco Javier Lacunza-Ruiz ◽  
David José Vázquez-Andrés ◽  
José Ramón Rodríguez-Hernández
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Incomplete Abortion ◽  
Coronary Artery Vasospasm

scholarly journals An unusual complication during alcohol septal ablation: severe left anterior descending artery vasospasm causing cardiac arrest: a case report and review of the literature

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Ömer Faruk Keskin ◽  
Atila Iyisoy
Keyword(s):  
Blood Pressure ◽  
Cardiac Arrest ◽  
Case Report ◽  
Coronary Artery ◽  
Coronary Flow ◽  
Wall Motion ◽  
Unusual Complication ◽  
Alcohol Septal Ablation ◽  
Left Anterior Descending Artery ◽  
Coronary Artery Vasospasm

Abstract Background Septal reduction therapy can be considered along the lines of hypertrophic obstructive cardiomyopathy patients who have drug-refractory symptoms. This can be applied either surgical myectomy or either alcohol septal ablation (ASA). Alcohol septal ablation has been performed successfully since the first announcement of ASA in 1995. Case summary We present a case report of coronary artery vasospasm that occurred in the left anterior descending artery (LAD) during ASA. We performed ASA via first septal artery. Two cubic centimetre of 99% ethanol was slowly injected and 10 min later balloon was withdrawn. Then the patient felt severe chest pain; his systolic blood pressure went down quickly and fibrillated. We started the cardiopulmonary resuscitation (CPR). After CPR, the rhythm was achieved total 4 min later cardiac arrest but blood pressure was low. Emergent coronary angiography showed that coronary spasm caused severe occlusion in the LAD segment just after the first septal artery and impaired coronary flow nearly totally in the LAD just after septal artery. At that time, we decided to implant a stent due to the patient’s serious condition and a 3.5 × 18 mm drug-eluting stent was implanted. We performed control angiography to patient 3 days later of the procedure and LAD flow was TIMI 3. Discussion The causes of LAD occlusion are alcohol leakage, dissection, and vasospasm. It is important to detect the correct reason for appropriate treatment. Alcohol leakage impairs and causes coronary flow disruption; this can cause ventricular wall motion abnormalities. In our case, there was severe spasm in the LAD coronary artery and LAD flow was severely impaired. On echocardiogram, there was no myocardial wall motion abnormality. So alcohol leakage was ruled out. Left anterior descending artery image was not typical dissection. As a result of these findings, we concluded that the cause of LAD occlusion was coronary artery vasospasm.

scholarly journals Multifocal Severe Coronary Artery Vasospasm Mistaken for Diffuse Atherosclerosis: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Sarfraz Ahmed Nazir ◽  
Sheraz Nazir ◽  
Sanjay Kumar ◽  
Charles Ilsley
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Coronary Artery ◽  
Clinical Suspicion ◽  
History Taking ◽  
Catheter Angiography ◽  
Coronary Artery Vasospasm ◽  
Severe Coronary Artery ◽  
Diagnostic Coronary Angiography ◽  
Coronary Obstruction

Spontaneous severe multivessel coronary artery vasospasm is a rare but important cause of morbidity. One-third of patients have normal coronary vasculature, and these pose a significant therapeutic dilemma as lack of clinical suspicion might potentially lead to unnecessary revascularization therapies. A patient with resting chest pain and ischaemic electrocardiography demonstrated severe coronary obstruction at catheter angiography. Preangioplasty further information highlighted spasm as the likely cause and the angiographic abnormalities resolved post intracoronary nitrate. This paper emphasises thorough history-taking and judicious use of nitrates during diagnostic coronary angiography in such patients. This may negate the need for more complex cardiac interventions.

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