Multi-vessel intractable coronary spasm development in a patient with aborted sudden cardiac death: a case study with intravascular ultrasound findings / 영남의대학술지
Yeungnam University Journal of Medicine
; : 121-126, 2018.
Article
em En
| WPRIM
| ID: wpr-787083
Biblioteca responsável:
WPRO
ABSTRACT
Coronary spasm generally occurs in patients with minimal atherosclerotic plaque lesion, and it has a rather favorable prognosis. However, in some cases, coronary spasm may induce myocardial infarction and even sudden cardiac death (SCD). Here, we report a case in which multi-vessel intractable coronary vasospasm suddenly occurred in a diffuse atherosclerotic lesion after percutaneous coronary intervention (PCI) in a patient with aborted SCD. We identified the characteristics of the spasm portion in intravascular ultrasound (IVUS) images and conducted percutaneous cardiopulmonary bypass support-PCI with stenting as treatment. Intima and media thickening and a large attenuated plaque burden with rupture were identified in IVUS images at the obstructive spasm portion.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Prognóstico
/
Ruptura
/
Espasmo
/
Ponte Cardiopulmonar
/
Stents
/
Ultrassonografia
/
Morte Súbita Cardíaca
/
Vasoespasmo Coronário
/
Placa Aterosclerótica
/
Intervenção Coronária Percutânea
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Yeungnam University Journal of Medicine
Ano de publicação:
2018
Tipo de documento:
Article