Coronary spasm and cardiac arrest from carcinoid crisis during laser bronchoscopy

Chest. 1999 Feb;115(2):598-600. doi: 10.1378/chest.115.2.598.

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.

Publication types

  • Case Reports

MeSH terms

  • Bronchial Neoplasms / complications*
  • Bronchial Neoplasms / surgery*
  • Bronchoscopy / adverse effects*
  • Carcinoid Tumor / complications*
  • Carcinoid Tumor / surgery*
  • Child
  • Coronary Vasospasm / etiology*
  • Electrocardiography
  • Female
  • Heart Arrest / etiology*
  • Humans
  • Intubation, Intratracheal
  • Laser Therapy*