Multi-vessel intractable coronary spasm development in a patient with aborted sudden cardiac death: a case study with intravascular ultrasound findings
10.12701/yujm.2018.35.1.121
- Author:
Sungsoo CHO
1
;
Tae Soo KANG
Author Information
1. Division of Cardiovascular Medicine, Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea. neosoo70@dankook.ac.kr
- Publication Type:Case Report
- Keywords:
Coronary vasospasm;
Intravascular ultrasound;
Sudden cardiac death
- MeSH:
Cardiopulmonary Bypass;
Coronary Vasospasm;
Death, Sudden, Cardiac;
Humans;
Myocardial Infarction;
Percutaneous Coronary Intervention;
Plaque, Atherosclerotic;
Prognosis;
Rupture;
Spasm;
Stents;
Ultrasonography
- From:Yeungnam University Journal of Medicine
2018;35(1):121-126
- CountryRepublic of Korea
- Language:English
-
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.
