Soonchunhyang Med Sci.  2020 Dec;26(2):67-70. 10.15746/sms.20.017.

Coronary Artery Vasospasm with Acute Myocarditis in an Adolescent

• Jung YR
• Lee SH

• KMID: 2510699
• DOI: http://doi.org/10.15746/sms.20.017

Abstract

A 13-year-old boy had a 5-day history of prodromal symptoms of fever and dry cough followed by two episodes of severe anginal chest pain and substantial transient ST-segment elevation. A subsequent evaluation showed that the chest pain was caused by coronary artery vasospasm complicating acute myocarditis. We report a rare case of coronary artery vasospasm in an adolescent with a medical history of Raynaud’s phenomenon who was successfully treated with intravenous immunoglobulin and a calcium channel blocker. This report exemplifies the need for pediatricians to be aware that anginal pain due to coronary artery spasm can, albeit rarely, occur in children as a complication of myocarditis, sometimes as a concomitant feature in patients with Raynaud’s phenomenon; in suspected cases, serial electrocardiography is important to perform.

Keyword

Adolescent; Coronary vasospasm; Myocarditis; Raynaud disease