title: Thoracic Sympathectomy for Severe Refractory Multivessel Coronary Artery Spasm.
abstract: Coronary artery spasm is a rare but potentially fatal disease. Herein, we report a case of recurrent ST-segment myocardial infarctions and ventricular fibrillation complicating severe multivessel coronary artery spasm successfully treated with bilateral thoracic surgical sympathectomy.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Cardona-Guarache
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Jonah
authors.initials: J
authors.lastname: Pozen
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Arehzo
authors.initials: A
authors.lastname: Jahangiri
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Jayanthi
authors.initials: J
authors.lastname: Koneru
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Richard
authors.initials: R
authors.lastname: Shepard
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Roberts
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Antonio
authors.initials: A
authors.lastname: Abbate
authors.affiliation: Department of Cardiac Surgery, Virginia Commonwealth University, Richmond, Virginia. Electronic address: anthony.cassano@vcuhealth.org.
authors.forename: Anthony
authors.initials: A
authors.lastname: Cassano
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000503:physiopathology*; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D013562:Sympathectomy / Q000379:methods*; D013900:Thoracic Nerves / Q000601:surgery*