Stellate Ganglion Block and Bilateral Sympathectomy for Recurrent Coronary Vasospasm Secondary to Severe Eosinophilic Asthma

Q4 Medicine

JACC. Case reports Pub Date : 2025-01-15 DOI:10.1016/j.jaccas.2024.102813

Kai Yi Wu MD , Ruochen Mao MD , Craig Butler MD, MS , Pishoy Gouda MBBCh BAO, MS , Naji Alhulaimi MBBS , Rohan Parab MD , Bryan James Dicken MD, MS , Sayra Khandekar MD , Michelle Graham MD , Kevin R. Bainey MD, MS

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Abstract

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.

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