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Refractory Right Coronary Artery Spasm: A Case Report
Siamac Yazdchi1, Santosh Desai2, Janelle Rodriguez3
1Internal Medicine, Banner - University Medical Center Phoenix, Phoenix, USA.
Cureus
|March 27, 2020
Summary
Severe coronary spasm during cardiac catheterization resistant to medication required stent placement. This case highlights an alternative treatment for refractory coronary artery spasm.
Area of Science:
- Cardiology
- Interventional Cardiology
Background:
- Coronary artery spasm is a reversible narrowing of the coronary arteries.
- It can cause chest pain and myocardial infarction.
- Medical management with vasodilators is the standard treatment.
Observation:
- A patient presented with severe coronary spasm during cardiac catheterization.
- The spasm was refractory to standard medical management, including vasodilating agents.
Findings:
- Coronary artery spasm unresponsive to medical therapy necessitated intervention.
- Successful treatment was achieved with the placement of coronary stents.
Implications:
- Coronary artery stenting can be a viable option for refractory coronary artery spasm.
- This case expands treatment strategies for severe, medically unresponsive coronary vasospasm.
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