Unexpected complications of vasospastic coronary artery disease and its successful management

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GÖK G., Çinar T.

Journal of Cardiovascular and Thoracic Research, vol.11, no.2, pp.164-166, 2019 (Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 11 Issue: 2
  • Publication Date: 2019
  • Doi Number: 10.15171/jcvtr.2019.28
  • Journal Name: Journal of Cardiovascular and Thoracic Research
  • Journal Indexes: Scopus
  • Page Numbers: pp.164-166
  • Keywords: Vasospastic Coronary Artery Disease, Myocardial Infarction, Percutaneous Coronary Intervention, Complication
  • Istanbul Medipol University Affiliated: Yes

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.