Postoperative diffuse coronary spasm after two valve surgery - A rare phenomenon

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• 作者：Tanveer Ahmad^a ; ^{drtanveerahmad@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Kolkebaile Sadanand Kishore^b ; Nandakumar Neralakere Maheshwarappa^c ; Ashwini Kumar Pasarad^a
• 关键词：Postoperative coronary spasm ; Double valve replacement ; Diffuse coronary spasm ; Intracoronary nitroglycerine
• 刊名：Indian Heart Journal
• 出版年：2015
• 出版时间：September-October 2015
• 年：2015
• 卷：67
• 期：5
• 页码：465-468
• 全文大小：2231 K

文摘

Postoperative coronary artery spasm is one of the grave complications of cardiac surgery and is usually seen in patients undergoing coronary artery bypass surgery. We describe the case of a 63 year old male patient developing postoperative spasm of the entire coronary tree after aortic & mitral valve replacement, manifesting as significant electrocardiographic changes. Urgent coronary angiography was performed which revealed diffuse spasm of the entire coronary tree. It resolved completely with intracoronary injection of Nitroglycerine. The present case highlights the likelihood of postoperative coronary spasm even after valve replacement surgery, and not just coronary bypass surgery. It also illustrated the usefulness of coronary angiography for both diagnosis and treatment of this entity.