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Full Text: 
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¿µ³²ÀÇ´ëÇмúÁö Yeungnam Univ J Med 2018;35(1):121-126
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CASE REPORT
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Multi-vessel intractable coronary spasm development in a patient
with aborted sudden cardiac death: a case study with intravascular
ultrasound findings |
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Sungsoo Cho, Tae Soo Kang
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Division of Cardiovascular Medicine, Department of Internal Medicine, Dankook University Hospital,
Dankook University College of Medicine, Cheonan, Korea
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Corresponding Author: Tae Soo Kang, Division of Cardiovascular
Medicine, Department of Internal Medicine,
Dankook University Hospital, Dankook University College of
Medicine, 201, Manghyang-ro, Dongnam-gu, Cheonan
31116, Korea
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Tel: +82-41-550-7690, Fax: +82-41-556-0524
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E-mail: neosoo70@dankook.ac.kr
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Received: January 17, 2018, Revised: January 29, 2018
Accepted: February 9, 2018
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Abstract
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Coronary spasm generally occurs in patients with minimal atherosclerotic plaque lesion, and it has a rather
favorable prognosis. However, in some cases, coronary spasm may induce myocardial infarction and even
sudden cardiac death (SCD). Here, we report a case in which multi-vessel intractable coronary vasospasm
suddenly occurred in a diffuse atherosclerotic lesion after percutaneous coronary intervention (PCI) in a
patient with aborted SCD. We identified the characteristics of the spasm portion in intravascular ultrasound
(IVUS) images and conducted percutaneous cardiopulmonary bypass support-PCI with stenting as treatment.
Intima and media thickening and a large attenuated plaque burden with rupture were identified in
IVUS images at the obstructive spasm portion.
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Key Words: Keywords: Coronary vasospasm; Intravascular ultrasound; Sudden cardiac death
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