Document Detail


Refractory vascular spasm associated with coronary bypass grafting.
MedLine Citation:
PMID:  25346903     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Diffuse refractory vascular spasms associated with coronary bypass artery grafting (CABG) are rare but devastating. A 42-year-old male patient with a past history of stent insertion was referred for the surgical treatment of a recurrent left main coronary artery disease. A hemodynamic derangement developed during graft harvesting, necessitating a hurried initiation of cardiopulmonary bypass (CPB). Although CABG was carried out as planned, the patient could not be weaned from the bypass. An emergency coronary angiography demonstrated a diffuse spasm of both native coronary arteries and grafts. CPB was switched to the femorofemoral extracorporeal membrane oxygenator (ECMO). Although he managed to recover from heart failure, his discharge was delayed due to the ischemic injury of the lower limb secondary to cannulation for ECMO. We reviewed the case and literature, placing emphasis on the predisposing factors and appropriate management.
Authors:
Young Sam Kim; Yong Han Yoon; Jeoung Taek Kim; Helen Ki Shinn; Seong Ill Woo; Wan Ki Baek
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Publication Detail:
Type:  Journal Article     Date:  2014-10-05
Journal Detail:
Title:  The Korean journal of thoracic and cardiovascular surgery     Volume:  47     ISSN:  2233-601X     ISO Abbreviation:  Korean J Thorac Cardiovasc Surg     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-10-27     Completed Date:  2014-10-27     Revised Date:  2014-10-30    
Medline Journal Info:
Nlm Unique ID:  101563922     Medline TA:  Korean J Thorac Cardiovasc Surg     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  468-72     Citation Subset:  -    
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