title: Reversible left anterior descending artery spasm, prolonged cardiac arrest and left main thrombosis during a PTCA attempt of the circumflex artery.
abstract: The authors report a case of percutaneous transluminal coronary angioplasty of the circumflex artery complicated by occlusion of the non-diseased left anterior descending artery by spasm. During advanced cardiac life support, required for the subsequent cardiac arrest, intra-coronary nitrates and calcium antagonists were administered. After 45 minutes, the spasm resolved, but N probably as a result of prolonged blood stasis N a thrombus appeared in the left main artery. While attempting to stent the left main, the thrombus was mechanically dislodged, leaving the epicardial coronary tree free, with a good flow.
authors.affiliation: Cardiology, Catholic University, L.go A. Gemelli, 8, 00168, Rome, Italy. carlotrani@iol.it.
authors.forename: C
authors.initials: C
authors.lastname: Trani
authors.forename: F
authors.initials: F
authors.lastname: Burzotta
authors.forename: F
authors.initials: F
authors.lastname: Andreotti
authors.forename: C
authors.initials: C
authors.lastname: Colizzi
authors.forename: A G
authors.initials: AG
authors.lastname: Rebuzzi
authors.forename: G
authors.initials: G
authors.lastname: Schiavoni
authors.forename: M A
authors.initials: MA
authors.lastname: Mazzari
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000209:etiology*; D003329:Coronary Vasospasm / Q000209:etiology*; D004562:Electrocardiography; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors