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Document Details : Title: Carcinoid crisis with fatal coronary spasm in a small localized peripheral bronchial carcinoid Author(s): R. Erdem , H. Slabbynck , F. Van Den Branden Journal: Acta Cardiologica Volume: 65 Issue: 4 Date: 2010 Pages: 471-475 DOI: 10.2143/AC.65.4.2053909 Abstract : Presumptive coronary artery spasm, with characteristic ST-segment elevation followed by ventricular arrhythmia and cardiac arrest, is a very uncommon manifestation of the carcinoid crisis and has been shown on angiography only once in a patient with co-existing extensive atheromatous disease. We present the history of a 70-year-old man with angiographically documented fatal diffuse coronary spasm in the absence of significant atheromatosis, related to an unprovoked carcinoid crisis caused by a small peripheral atypical carcinoid tumour in the absence of metastasis. |
