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Múltiples lesiones íntimas asociadas con espasmo coronario severo

Koichiro Hori1, Riku Arai1, Keisuke Kojima1

  • 1Division of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.

Clinical case reports
|February 18, 2026
PubMed
Resumen

El vasoespasmo coronario severo puede causar paro cardíaco. La tomografía de coherencia óptica (OCT) identificó lesiones íntimas y microcoágulos, lo que sugiere un fenotipo de alto riesgo que requiere un manejo agresivo.

Palabras clave:
lesión íntimatomografía de coherencia ópticamuerte súbitavasoespasmo

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Área de la Ciencia:

  • Cardiología; Imagenología Médica

Sus antecedentes:

  • El vasoespasmo coronario es una causa subestimada de paro cardíaco extrahospitalario.

Objetivo del estudio:

  • Caracterizar los hallazgos de imagen intracoronaria en un paciente con paro cardíaco recurrente debido a vasoespasmo coronario severo.

Principales métodos:

  • Informe de caso de un paciente con paro cardíaco recurrente.

Principales resultados:

  • La OCT reveló lesiones íntimas focales, microcoágulos y encogimiento del vaso.
  • Estos hallazgos ocurrieron a pesar de la ausencia de obstrucción coronaria fija.
  • El paciente experimentó eventos isquémicos repetidos, incluida isquemia mesentérica fatal.

Conclusiones:

  • El vasoespasmo coronario severo puede causar lesiones íntimas repetidas y desencadenar un paro cardíaco fatal.