Recurrent intraoperative coronary artery spasm in a patient with coronary artery aneurysm

被引：1

作者：

Truong, Angela T. ^{[1
]}

Truong, Dam-Thuy ^{[1
]}

Brown, David L. ^{[1
]}

机构：

[1] Univ Texas, MD Anderson Canc Ctr, Dept Anesthesiol & Pain Med, Houston, TX 77030 USA

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2006年 / 18卷 / 07期

关键词：

coronary artery aneurysm; endothelial dysfunction; recurrent coronary artery spasm;

D O I：

10.1016/j.jclinane.2006.03.012

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Coronary artery spasm (CAS) may result from endothelial dysfunction in norrobstructed 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. (C) 2006 Elsevier Inc. All rights reserved.

引用

页码：530 / 533

页数：4

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