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Coronary Spasm and Cardiac Arrest From Carcinoid Crisis During Laser Bronchoscopy*

Atul C. Mehta, MBBS, FCCP; Albert L. Rafanan, MD; Reginald Bulkley, MD; Michael Walsh, MD; Glenn E. DeBoer, MD
Author and Funding Information

*From the Department of Pulmonary Medicine (Drs. Mehta and Rafanan), and the Department of Anesthesiology (Drs. Bulkley, Walsh, and DeBoer), Cleveland Clinic Foundation, Cleveland, OH.



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

Abbreviations: FB = flexible bronchoscope; RMB = right mainstem bronchus; RUL = right upper lobe

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