Coronary spasm and cardiac arrest from carcinoid crisis during laser bronchoscopy

被引：17
|
作者：
Mehta, AC
Rafanan, AL
Bulkley, R
Walsh, M
DeBoer, GE
机构：
[1] Cleveland Clin Fdn, Dept Pulm Med, Cleveland, OH 44195 USA
[2] Cleveland Clin Fdn, Dept Anesthesiol, Cleveland, OH 44195 USA
来源：
CHEST | 1999年 / 115卷 / 02期
关键词：
bronchoscopy; cardiac arrest; carcinoid crisis; carcinoid tumor; laser;
D O I：
10.1378/chest.115.2.598
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
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 neodymium-yttrium 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.
引用
收藏
页码：598 / 600
页数：3
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