Severe diffuse coronary artery spasm in the early phase of cardiogenic shock

Severe diffuse coronary artery spasm in the early phase of cardiogenic shock

Coronary artery vasospasm rarely appears as a diffuse phenomenon that involves all the coronary tree. We present a clinical case of acute myocardial infarction complicated by ventricular fibrillation and cardiogenic shock. Urgent coronary angiography showed occlusion of proximal Circumflex coronary...

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Veröffentlicht in:International journal of cardiology 2009, Vol.134 (3), p.e103-e104
Hauptverfasser: Lilli, Alessio, Vecchio, Sabine, Vittori, Guido, Consoli, Lorenzo, Chechi, Tania, Margheri, Massimo
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container_issue 3
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container_title International journal of cardiology
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creator Lilli, Alessio
Vecchio, Sabine
Vittori, Guido
Consoli, Lorenzo
Chechi, Tania
Margheri, Massimo
description Coronary artery vasospasm rarely appears as a diffuse phenomenon that involves all the coronary tree. We present a clinical case of acute myocardial infarction complicated by ventricular fibrillation and cardiogenic shock. Urgent coronary angiography showed occlusion of proximal Circumflex coronary artery and a TIMI I flow in the left anterior descending artery due to severe, diffuse coronary vasospasm. Patient was successfully treated with intra-aortic balloon pump and intracoronary bolus of nitroglycerin with restoration of flow in left coronary branches and complete resolution of shock.
doi_str_mv 10.1016/j.ijcard.2008.01.008
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title Severe diffuse coronary artery spasm in the early phase of cardiogenic shock
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