Wu Kai Yi, Mao Ruochen, Butler Craig, Gouda Pishoy, Alhulaimi Naji, Parab Rohan, Dicken Bryan James, Khandekar Sayra, Graham Michelle, Bainey Kevin R
Division of Cardiology, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta.
Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta.
JACC Case Rep. 2025 Jan 15;30(2):102813. doi: 10.1016/j.jaccas.2024.102813.
A 42-year-old man experienced recurrent coronary artery spasm (CAS) secondary to eosinophilic asthma despite being on multiple medications. He underwent a successful unilateral stellate ganglion block followed by bilateral thoracoscopic sympathectomy, with no subsequent recurrence of CAS. These invasive therapies offer a potential treatment option for refractory CAS.
一名42岁男性尽管服用了多种药物,但仍因嗜酸性粒细胞性哮喘继发反复冠状动脉痉挛(CAS)。他接受了成功的单侧星状神经节阻滞,随后进行了双侧胸腔镜交感神经切除术,此后CAS未再复发。这些侵入性治疗为难治性CAS提供了一种潜在的治疗选择。