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JYMS : Journal of Yeungnam Medical Science

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Tae Soo Kang 1 Article
Multi-vessel intractable coronary spasm development in a patient with aborted sudden cardiac death: a case study with intravascular ultrasound findings
Sungsoo Cho, Tae Soo Kang
Yeungnam Univ J Med. 2018;35(1):121-126.   Published online June 30, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.1.121
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AbstractAbstract PDF
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.

Citations

Citations to this article as recorded by  
  • Intractable right coronary artery spasm in the early postoperative period after heart transplantation: a case report
    Jaewook Chung, Jeehoon Kang, Hae-Young Lee, Suk Ho Sohn, Ho Young Hwang, Hyun-Jai Cho
    Korean Journal of Transplantation.2022; 36(2): 154.     CrossRef

JYMS : Journal of Yeungnam Medical Science