Postoperative Coronary Artery Spasm After Mitral Valve Replacement

Overview

Journal Int J Surg Case Rep

Specialty General Surgery

Date 2015 Feb 15

PMID 25680533

Citations 4

Authors

Claudio Pragliola

Mario Gaudino

Piero Farina

Massimo Massetti

Affiliations

Soon will be listed here.

Abstract

Introduction: Postoperative coronary artery spasm is an infrequent life-threatening event after cardiac surgery which can occur without an underlying coronary disease

Presentation Of Case: We report a documented case of a 67-year-old man with normal coronary arteries submitted to mitral valve replacement. Immediately after surgery he had a ST elevation in the inferior leads, and an inferior wall hypokinesia at the trans-oesophageal echo. A coronary angiography demonstrated a focal spasm in the right coronary artery which was successfully treated by intracoronary injection of nitrates. The following postoperative course was uneventful and the left ventricular function returned to normal.

Discussion: A coronary artery spasm should be suspected whenever a postoperative infarction occurs after valvular surgery especially in absence of associated coronary artery disease. In this cases postoperative coronary angiography allows both the diagnosis and the treatment.

Conclusion: This case-report summarizes the findings of this rare and potentially life-threatening cause of early postoperative ischemia and highlights the role of early coronary angiography in the cases of suspected myocardial infarction after cardiac surgery.

Citing Articles

Diffuse Coronary Vasospasm After Mitral Valve Replacement, Maze Procedure, and Tricuspid Valve Repair.

Gorton A, Rodgers-Fischl P, Gurley J, Dorfling J, Keshavamurthy S Cureus. 2023; 15(2):e35405.

PMID: 36987472 PMC: 10040173. DOI: 10.7759/cureus.35405.

Refractory diffuse coronary artery spasm post aortic valve replacement.

Nagasawa A, Okonogi S, Ohki S, Ohbayashi T Interdiscip Cardiovasc Thorac Surg. 2023; 36(1).

PMID: 36802251 PMC: 9972511. DOI: 10.1093/icvts/ivac288.

Severe Coronary Artery Vasospasm after Mitral Valve Replacement in a Diabetic Patient with Previous Stent Implantation: A Case Report.

Stoica A, Harpa M, Banceu C, Kovacs J, Suciu H J Crit Care Med (Targu Mures). 2022; 8(2):131-135.

PMID: 35950156 PMC: 9097639. DOI: 10.2478/jccm-2022-0005.

Post-valvular surgery multi-vessel coronary artery spasm - A literature review.

Formica F, Bamodu O, Mariani S, Paolini G Int J Cardiol Heart Vasc. 2017; 10:32-38.

PMID: 28616513 PMC: 5441341. DOI: 10.1016/j.ijcha.2015.10.010.

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