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Unexpected outcome (positive or negative) including adverse drug reactions
CASE REPORT
Catastrophic catheter-induced coronary artery vasospasm successfully rescued using intravascular ultrasound imaging guidance
  1. Masaki Kodaira,
  2. Ryota Tabei,
  3. Toshiki Kuno,
  4. Yohei Numasawa
  1. Department of Cardiology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan
  1. Correspondence to Dr Masaki Kodaira, mskodaira{at}gmail.com

Summary

A 46-year-old man underwent coronary angiography for stable angina. He developed inferior ST-segment myocardial infarction during the angiography. Intravascular ultrasound (IVUS) findings suggested coronary vasospasm. Intracoronary administration of isosorbide dinitrate restored the coronary flow. This case illustrates the essential role IVUS imaging played in establishing the diagnosis of catheter-induced coronary vasospasm.

  • clinical diagnostic tests
  • ischaemic heart disease

https://doi.org/10.1136/bcr-2017-222607

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    Footnotes

    • Contributors All the authors contributed in patient care. MK, the corresponding author, was the primary surgeon and drafted the manuscript. YN was the assistant surgeon, who supervised the procedure, critically revised the manuscript to ensure the important intellectual content was appropriate, and provided the final approval. RT and TK also critically revised the manuscript for the important intellectual content.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.