Document Detail


The role of percutaneous cardiopulmonary support in the treatment of native coronary spasm after coronary artery bypass grafting.
MedLine Citation:
PMID:  20444676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Postoperative coronary artery spasm following off-pump coronary artery bypass is a rare and unpredictable complication. The clinical manifestations following spasm vary, depending on the severity or the affected vessels. In serious cases, it can proceed to circulatory collapse and cardiac arrest. Coronary angiography with infusion of coronary vasodilators has been a well-established diagnostic and therapeutic tool. We present a patient who was successfully resuscitated with an intra-aortic balloon pump (IABP) and percutaneous cardiopulmonary support (PCPS) as initial stabilization because of an inability to proceed to angiography. Furthermore, we demonstrated the effectiveness of IABP and PCPS for restoring cardiac function.
Authors:
Ho-Ki Min; Young Tak Lee; Wook Sung Kim; Su Wan Kim
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  13     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-05-06     Completed Date:  2010-09-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E126-8     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Bypass / methods*
Coronary Angiography
Coronary Artery Bypass / adverse effects*
Coronary Vasospasm / etiology,  radiography,  therapy*
Diagnosis, Differential
Follow-Up Studies
Heart Catheterization*
Humans
Male
Middle Aged
Postoperative Care / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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