Severe diffuse coronary artery spasm in the early phase of cardiogenic shock.
Coronary artery vasospasm rarely appears as a diffuse phenomenon that involves all the coronary tree. We present a clinical case of acute myocardial infarction complicated by ventricular fibrillation and cardiogenic shock. Urgent coronary angiography showed occlusion of proximal Circumflex coronary artery and a TIMI I flow in the left anterior descending artery due to severe, diffuse coronary vasospasm. Patient was successfully treated with intra-aortic balloon pump and intracoronary bolus of nitroglycerin with restoration of flow in left coronary branches and complete resolution of shock.
Lilli
Alessio
A
Vecchio
Sabine
S
Vittori
Guido
G
Consoli
Lorenzo
L
Chechi
Tania
T
Margheri
Massimo
M
D003329:Coronary Vasospasm / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D004554:Electric Countershock / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D012770:Shock, Cardiogenic / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy