Recurrent pulseless electrical activity in a patient with coronary vasospasm and supravalvular aortic stenosis: a case report

BMC Cardiovascular Disorders

Case Report

Hans H. Osterhues¹  Tobias Wengenmayer²  Christoph Bode²  Achim Lother²  Friedhelm Beyersdorf³ 

[1] District Hospital Loerrach, Medical Clinic, Loerrach, Germany;Heart Center, Department of Cardiology and Angiology I, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany;Heart Center, Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany;

关键词: Pulseless electrical activity;    Cardiac arrest;    Coronary vasospasm;    Supravalvular aortic stenosis;    ECLS;   

DOI  :  10.1186/s12872-016-0284-5

 received in 2016-01-29, accepted in 2016-05-14,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPulseless electrical activity cardiac arrest is associated with poor outcomes and the identification of potentially reversible reasons for cardiac arrest is fundamental.Case presentationWe describe the case of a 46-year-old male with the rare coincidental finding of supravalvular aortic stenosis and coronary vasospasm leading to recurrent pulseless electrical activity cardiac arrest. Extracorporeal life support was successfully applied for hemodynamic stabilization. Supravalvular aorticstenosis underwent surgical repair. The patient survived five time resuscitation and was discharged after full neurological recovery.ConclusionsCoronary vasospasm and supravalvular aortic stenosis are rare but potentially reversible causes of pulseless electrical activity cardiac arrest. Extracorporeal life support allows accurate diagnostic and possibly therapy even of uncommon reasons for cardiac arrest.

【 授权许可】

CC BY   
© The Author(s). 2016