Coronary spasm and cardiac arrest from carcinoid crisis during laser bronchoscopy.
case_report · Level V
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- Record sourced from PubMed, PMID 10027471.
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Abstract
Bronchoscopic manipulation of an endobronchial carcinoid can precipitate a carcinoid crisis. Coronary artery spasm is an uncommon manifestation of carcinoid crisis, and has never been reported as a complication of flexible bronchoscopy. We report a case of a 10-year-old girl who developed coronary artery spasm and cardiac arrest during neodymiumyttrium aluminum garnet (Nd-YAG) laser photoresection of an endobronchial carcinoid. Recognition of this unusual presentation of a carcinoid crisis is important as the treatment approach differs from standard resuscitation protocols.
Medical subject headings
- Bronchial Neoplasms
- Bronchoscopy
- Carcinoid Tumor
- Coronary Vasospasm
- Heart Arrest
- Laser Therapy