Tabriz University of Medical Sciences Journal of Cardiovascular and Thoracic Research 2008-5117 11 2 2019 06 30 Unexpected complications of vasospastic coronary artery disease and its successful management 164 166 10.15171/jcvtr.2019.28 EN Gülay Gök Tufan Çinar https://orcid.org/0000-0001-8188-5020 Journal Article 10.15171/jcvtr.2019.28 2018 10 08 2019 05 10 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.