Post-valvular Surgery Multi-vessel Coronary Artery Spasm - A Literature Review

Overview

Journal Int J Cardiol Heart Vasc

Date 2017 Jun 16

PMID 28616513

Citations 1

Authors

Francesco Formica

Oluwaseun Adebayo Bamodu

Serena Mariani

Giovanni Paolini

Affiliations

Soon will be listed here.

Abstract

Coronary artery spasm (CAS) refers to the spontaneous or stimuli-induced transient, often localized and intense subtotal or total constriction/occlusion of the epicardial coronary artery, usually concomitant with with associated elevation of the ST segment on electrocardiogram (ECG). In this article, we present a literature review on post-valvular surgery CAS and report the clinical case of a 77 year-old man who experienced severe early post-aortic surgery chest pain and hemodynamic instability. Emergent coronary angiography revealed severe occlusion of multiple branches of both coronary arteries. The CAS was alleviated with intracoronary infusion of nitroglycerin.

Citing Articles

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.

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