Submitted: 08 Oct 2018
Accepted: 10 May 2019
First published online: 18 May 2019
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J Cardiovasc Thorac Res. 2019;11(2):164-166.
doi: 10.15171/jcvtr.2019.28
PMID: 31384413
PMCID: PMC6669425
  Abstract View: 127
  PDF Download: 108

Case Report

Unexpected complications of vasospastic coronary artery disease and its successful management

Gülay Gök 1, Tufan Çinar 2 * ORCiD

1 Medipol University School of Medicine, Department of Cardiology, Istanbul, Turkey
2 Health Science University, Sultan Abdülhamid Han Training and Research Hospital, Department of Cardiology, Istanbul, Turkey

Abstract

Vasospastic coronary artery disease (CAD) usually occurs during the percutaneous interventions and responds to conventional medical treatment. However, in rare conditions, it may be resistant to medical treatment, resulting in lethal complications, including acute myocardial infarction, ventricular arrhythmia, cardiopulmonary arrest, cardiogenic shock, and acute pulmonary edema. In this case report, a 44-year-old woman was admitted to the hospital with a diagnosis of non-ST-segment elevation myocardial infarction. During a diagnostic coronary angiography and in-hospital stays, multiple catastrophic complications due to vasospastic CAD occurred, and we were able to demonstrate a successful management strategy of these complications.
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