| Recurrent intraoperative coronary artery spasm in a patient with coronary artery aneurysm. | |
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MedLine Citation:
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PMID: 17126783 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Coronary artery spasm (CAS) may result from endothelial dysfunction in nonobstructed arteries. Its complications include myocardial infarction, dysrhythmias, and death. It is difficult to diagnose CAS during general anesthesia because it closely mimics obstructive ischemia. We report the case of a patient who demonstrated intraoperative CAS during two separate surgeries. Angiography after the first surgery showed nonobstructed coronary anatomy. During the second surgery, recurrence of acute ST elevations caused by CAS rapidly responded to nitroglycerin. A high index of suspicion for CAS as a cause of intraoperative ischemia is necessary for an early diagnosis, treatment, and a favorable outcome. |
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Authors:
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Angela T Truong; Dam-Thuy Truong; David L Brown |
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17587713 - Coronary spasm is associated with chronic low-grade inflammation. 19135743 - A case with the longest angiographically documented left main coronary artery. 23506503 - Myocardial 'no-reflow' prevention. |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical anesthesia Volume: 18 ISSN: 0952-8180 ISO Abbreviation: J Clin Anesth Publication Date: 2006 Nov |
Date Detail:
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Created Date: 2006-11-27 Completed Date: 2007-03-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: United States |
Other Details:
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Languages: eng Pagination: 530-3 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology and Pain Medicine, University of Texas at Houston, Houston, TX 77030, USA. atruong@mdanderson.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Aneurysm
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complications,
surgery* Coronary Vasospasm / diagnosis, drug therapy*, etiology Female Humans Intraoperative Complications / diagnosis, drug therapy*, etiology Middle Aged Myocardial Infarction / diagnosis, drug therapy, etiology Nitroglycerin / administration & dosage* Vasodilator Agents / administration & dosage* |
| Chemical | |
Reg. No./Substance:
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0/Vasodilator Agents; 55-63-0/Nitroglycerin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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