A rare presentation of late right coronary artery spasm following aortic valve replacement

被引：0

作者：

Alizadeh-Ghavidel, Alireza ^{[1
]}

Basiri, Hosseinali ^{[2
]}

Totonchi, Ziae ^{[3
]}

Mirmesdagh, Yalda ^{[1
]}

Jalili-Shahandashti, Farshad ^{[3
]}

Gholizadeh, Behnam ^{[3
]}

机构：

[1] Iran Univ Med Sci, Heart Valve Dis Res Ctr, Rajaie Cardiovasc Med & Res Ctr, Tehran, Iran

[2] Iran Univ Med Sci, Cardiovasc Intervent Res Ctr, Rajaie Cardiovasc Med & Res Ctr, Tehran, Iran

[3] Iran Univ Med Sci, Rajaie Cardiovasc Med & Res Ctr, Tehran, Iran

来源：

ARYA ATHEROSCLEROSIS | 2015年 / 11卷 / 01期

关键词：

Aortic Valve Replacement; Coronary Artery Vasospasm; Coronary Artery Disease; Postoperative Complication;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND: Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion. CASE REPORT: In this article, we present a clinical case of CAS in a 48-year-old woman undergoing elective aortic valve replacement surgery for aortic stenosis. On the 3rd post-operative day, the patient suffered from chest pain and dyspnea. Emergent coronary angiography demonstrated a significant spasm of the ostium portion of the right coronary artery. CONCLUSION: This case shows that delayed coronary spasm should be considered as a cause of hemodynamic instability after valvular surgery.

引用

页码：50 / 53

页数：4

共 6 条

[1] PERIOPERATIVE CORONARY ARTERIAL SPASM - LONG-TERM FOLLOW-UP [J].

BUXTON, AE ;

HIRSHFELD, JW ;

UNTEREKER, WJ ;

GOLDBERG, S ;

HARKEN, AH ;

STEPHENSON, LW ;

EDIE, RN .

AMERICAN JOURNAL OF CARDIOLOGY, 1982, 50 (03) :444-451

[2]

FISCHELL TA, 1989, NEW ENGL J MED, V320, P400

[3] Mechanisms of Coronary Artery Spasm [J].

Lanza, Gaetano Antonio ;

Careri, Giulia ;

Crea, Filippo .

CIRCULATION, 2011, 124 (16) :1774-1782

[4] Lethal postoperative coronary artery spasm [J].

Paterson, HS ;

Jones, MW ;

Baird, DK ;

Hughes, CF .

ANNALS OF THORACIC SURGERY, 1998, 65 (06) :1571-1573

[5]

Pinho Teresa, 2007, Interact Cardiovasc Thorac Surg, V6, P387, DOI 10.1510/icvts.2006.145474

[6] CORONARY-ARTERY SPASM AFTER AORTIC-VALVE REPLACEMENT [J].

TSUCHIDA, K ;

TAKEMURA, T ;

KIJIMA, M ;

MATSUMOTO, S .

ANNALS OF THORACIC SURGERY, 1993, 56 (01) :170-173

← 1 →