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- A C Mehta, A L Rafanan, R Bulkley, M Walsh, and G E DeBoer.
- Department of Pulmonary Medicine, Cleveland Clinic Foundation, OH 44195, USA.
- Chest. 1999 Feb 1; 115 (2): 598-600.
AbstractBronchoscopic 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.
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