Recurrent idiopathic carotid and coronary artery vasospasm treated by stent implantations

J Cardiovasc Med (Hagerstown). 2021 Dec 1;22(12):e37-e40. doi: 10.2459/JCM.0000000000001247.

Abstract

Arterial vasospasm is a well known cause of ischemia and, if prolonged, of parenchymal infarction. The clinical presentation varies according to the involved arterial district. We describe a rare case, which occurred in a young lady, of recurrent and multisystem vasospasm, resulting in multiple cerebral and myocardial infarctions. Our patient was resistant to medical therapy, requiring stent implantation of the involved vessels.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Arterial Occlusive Diseases* / diagnosis
  • Arterial Occlusive Diseases* / physiopathology
  • Arterial Occlusive Diseases* / therapy
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Blood Vessel Prosthesis Implantation* / methods
  • Brain* / blood supply
  • Brain* / diagnostic imaging
  • Calcium Channel Blockers / therapeutic use
  • Carotid Arteries* / diagnostic imaging
  • Carotid Arteries* / physiopathology
  • Carotid Arteries* / surgery
  • Computed Tomography Angiography / methods
  • Coronary Angiography / methods
  • Coronary Vasospasm* / diagnostic imaging
  • Coronary Vasospasm* / etiology
  • Coronary Vasospasm* / physiopathology
  • Drug Resistance
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods
  • Out-of-Hospital Cardiac Arrest / therapy
  • Percutaneous Coronary Intervention / instrumentation
  • Percutaneous Coronary Intervention / methods
  • Platelet Aggregation Inhibitors / therapeutic use
  • Recurrence
  • Stents
  • Treatment Outcome
  • Vasospasm, Intracranial* / diagnostic imaging
  • Vasospasm, Intracranial* / etiology
  • Vasospasm, Intracranial* / physiopathology

Substances

  • Calcium Channel Blockers
  • Platelet Aggregation Inhibitors