关键词： Cardiac arrest Coronary vasospasm ECLS Pulseless electrical activity Supravalvular aortic stenosis

Mesh ： Aortic Stenosis, Supravalvular / complications diagnosis Computed Tomography Angiography Coronary Angiography / methods Coronary Vasospasm / complications diagnosis Electrocardiography Extracorporeal Membrane Oxygenation Heart Arrest / diagnosis etiology physiopathology Humans Male Middle Aged Predictive Value of Tests Pulse Recovery of Function Risk Factors Time Factors Treatment Outcome

来  源：   DOI：10.1186/s12872-016-0284-5   PDF(Sci-hub)

Abstract：
BACKGROUND: Pulseless electrical activity cardiac arrest is associated with poor outcomes and the identification of potentially reversible reasons for cardiac arrest is fundamental.
METHODS: We describe the case of a 46-year-old male with the rare coincidental finding of supravalvular aortic stenosis and coronary vasospasm leading to recurrent pulseless electrical activity cardiac arrest. Extracorporeal life support was successfully applied for hemodynamic stabilization. Supravalvular aorticstenosis underwent surgical repair. The patient survived five time resuscitation and was discharged after full neurological recovery.
CONCLUSIONS: Coronary vasospasm and supravalvular aortic stenosis are rare but potentially reversible causes of pulseless electrical activity cardiac arrest. Extracorporeal life support allows accurate diagnostic and possibly therapy even of uncommon reasons for cardiac arrest.
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