case_images: PMC11804802_01
case_images: ECG showing sinus rhythm, inferior and lateral QS wave, with ST-segment elevation and V2-V3 depression suggesting inferior, posterior, and lateral acute ischaemia.
case_images: ytaf036f1.jpg
case_images: PMC11804802_01_ytaf036f1.jpg
case_images: ytaf036-F1
case_images: ST-segment elevation in infero-postero-lateral leads (Figure 1).
case_images: Spontaneous vasospasm of circumflex artery.
case_images: ytaf036f2.jpg
case_images: PMC11804802_01_ytaf036f2.jpg
case_images: ytaf036-F2
case_images: High-dose dobutamine was initiated and a coronary angiography showed no atherosclerotic obstructions but revealed diffuse vasospasm (Figure 2), particularly in the circumflex artery, which improved with intracoronary nitroglycerine (NTG) (Figure 3).
case_images: Vasospasm recovery after intracoronary nitroglycerine infusion.
case_images: ytaf036f3.jpg
case_images: PMC11804802_01_ytaf036f3.jpg
case_images: ytaf036-F3
case_images: High-dose dobutamine was initiated and a coronary angiography showed no atherosclerotic obstructions but revealed diffuse vasospasm (Figure 2), particularly in the circumflex artery, which improved with intracoronary nitroglycerine (NTG) (Figure 3).
case_images: ECG showing sinus rhythm, wide QRS with anterior and inferior ST-segment elevation in context of diffuse vasospasm and biventricular akinesis.
case_images: ytaf036f4.jpg
case_images: PMC11804802_01_ytaf036f4.jpg
case_images: ytaf036-F4
case_images: ST changes and QRS aberration that led to loss of pulsatility (Figure 4), which was managed with ECMO flow rising, inotropic support and intravenous and sublingual nitroglycerine. Severe ventricular dysfunction regained 12 h later.