Document Detail


Successful Management of Refractory Lethal Coronary Spasm after Off-pump Coronary Bypass Grafting.
MedLine Citation:
PMID:  22190422     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Coronary artery spasm after coronary artery bypass grafting is a rare cause of acute myocardial infarction. A 68-year-old man who successfully tolerated off-pump coronary artery bypass grafting had a life-threatening spasm at 16 hours postoperatively. Emergent coronary angiography was performed and demonstrated whole vessel spasm of the bilateral coronary arteries and completely patent grafts. Several transcatheter intracoronary injections of vasodilators failed to relieve the spasm completely. After observation in ICU for 4 days with intra-aortic balloon pumping and a high dose of catecholamine, cardiac function was re-established and the patient recovered.
Authors:
Soh Hosoba; Tomoaki Suzuki; Noriyuki Takashima; Takeshi Kinoshita; Satoshi Kuryanagi; Hiromitsu Nota; Tohru Asai
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-22
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  -     ISSN:  1341-1098     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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