Coronary Artery Spasm is a Nightmare: A Rare Case of Multi Vessel Coronary Artery Spasm
Wang JY*, Chen H and Su X
Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan, PR China
- *Corresponding Author:
- Wang JY
Department of Cardiology
Wuhan Asia Heart Hospital
Wuhan 430022, PR China
E-mail: [email protected]
Received Date: February 03, 2016; Accepted Date: February 18, 2016; Published Date: February 26, 2016
Citation: Wang JY, Chen H, Su X (2016) Coronary Artery Spasm is a Nightmare: A Rare Case of Multi Vessel Coronary Artery Spasm. J Vasc Med Surg 4:254. doi:10.4172/2329-6925.1000254
Copyright: © 2016 Wang JY, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Coronary artery spasm is not an uncommon event, but its pathophysiologic mechanisms followed by coronary artery vasospasm are not yet completely clarified. Coronary artery spasm can lead to sudden cardiac death due to ventricular arrhythmias or heart block. In the cases of cardiogenic shock secondly to severe coronary artery spasm, IABP is sufficient to support the patient’s hemodynamics, in the other cases of severe cardiogenic shock or cardiac arrest secondly to severe coronary artery spasm, IABP is not sufficient to support the patient’s hemodynamics and more advanced mechanical circulatory support devices such as veno-arterial ECMO should be performed. This report describes a case of severe multi vessel coronary artery spasm leading to cardiac arrest, cardiogenic shock and cardiac death although using the first-class heart circulation assist device, and illustrates IABP and ECMO support for acute cardiac dysfunction secondary to diffuse multivessel coronary artery spasm was fruitless labour sometimes.