Coronary Arterial Vasospasm

Shingo Maeda, MD; Kaoru Okishige, MD; Yasuhide Tsuda, MD; Ryo Yonai, MD; Tomoyuki Kawashima, MD; Jackson J. Liang, DO; Ruben Casado Arroyo, MD; Mihoko Kawabata, MD; Hirotsugu Atarashi, MD; Kenzo Hirao, MD

JACC: Case Reports (Sep 2020)

Coronary Arterial Vasospasm

Shingo Maeda, MD,
Kaoru Okishige, MD,
Yasuhide Tsuda, MD,
Ryo Yonai, MD,
Tomoyuki Kawashima, MD,
Jackson J. Liang, DO,
Ruben Casado Arroyo, MD,
Mihoko Kawabata, MD,
Hirotsugu Atarashi, MD,
Kenzo Hirao, MD

Affiliations

Shingo Maeda, MD: Arrhythmia Advanced Therapy Center, AOI Universal Hospital, Kanagawa, Japan; Address for correspondence: Dr. Shingo Maeda, AOI Universal Hospital, Arrhythmia Advanced Therapy Center, 2-9-1 Tamachi Kawasaki-ku, Kawasaki-city, Kanagawa 210-0822, Japan.
Kaoru Okishige, MD: Yokohama Minato Heart Clinic, Yokohama, Japan
Yasuhide Tsuda, MD: Arrhythmia Advanced Therapy Center, AOI Universal Hospital, Kanagawa, Japan
Ryo Yonai, MD: Cardiovascular Therapy Center, AOI Universal Hospital, Kawasaki, Japan
Tomoyuki Kawashima, MD: Cardiovascular Therapy Center, AOI Universal Hospital, Kawasaki, Japan
Jackson J. Liang, DO: Department of Cardiac Electrophysiology, University of Michigan, Ann Arbor, Michigan
Ruben Casado Arroyo, MD: Department of Cardiology, Hopital Erasme, Université Libre de Bruxelles, Brussels, Belgium
Mihoko Kawabata, MD: Arrhythmia Advanced Therapy Center, AOI Universal Hospital, Kanagawa, Japan
Hirotsugu Atarashi, MD: Department of Internal Medicine, Minami-Hachioji Hospital, Tokyo, Japan
Kenzo Hirao, MD: Arrhythmia Advanced Therapy Center, AOI Universal Hospital, Kanagawa, Japan

Journal volume & issue: Vol. 2, no. 11
pp. 1766 – 1770

Abstract

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A 75-year-old man was admitted for repeat ablation of atrial fibrillation. At 30 min after infusion of 3.5 ml of ethanol into the vein of Marshall, inferior ST-segment elevation with coronary arterial vasospasm was observed. This is the first report of coronary vasospasm after chemical ablation of the vein of Marshall. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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