Coronary spasm and cardiac arrest from carcinoid crisis during laser bronchoscopy

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 ease of a 10-year-old girl who developed coronary artery spasm and cardiac arrest during neodymium-yttrium 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.