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  • Title: Coronary spasm and cardiac arrest from carcinoid crisis during laser bronchoscopy.
    Author: Mehta AC, Rafanan AL, Bulkley R, Walsh M, DeBoer GE.
    Journal: Chest; 1999 Feb; 115(2):598-600. PubMed ID: 10027471.
    Abstract:
    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 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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