Carcinoid crisis with fatal coronary spasm in a small localized peripheral bronchial carcinoid.
Presumptive coronary artery spasm, with characteristic ST-segment elevation followed by ventricular arrhythmia and cardiac arrest, is a very uncommon manifestation of the carcinoid crisis and has been shown on angiography only once in a patient with co-existing extensive atheromatous disease. We present the history of a 70-year-old man with angiographically documented fatal diffuse coronary spasm in the absence of significant atheromatosis, related to an unprovoked carcinoid crisis caused by a small peripheral atypical carcinoid tumour in the absence of metastasis.
Erdem
Ramazan
R
ZNA Middelheim, Antwerp, Dept. of Cardiology, Lindendreef 1, 2020 Antwerp, Belgium. erdemrambo@hotmail.com
Slabbynck
Hans
H
Van den Branden
Frank
F
D000368:Aged; D001984:Bronchial Neoplasms / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000175:diagnosis / Q000209:etiology*; D004562:Electrocardiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008303:Malignant Carcinoid Syndrome / Q000150:complications* / Q000175:diagnosis; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed