Coronary artery spasm after coronary artery bypass grafting

Eur J Cardiothorac Surg. 1999 Apr;15(4):545-8. doi: 10.1016/s1010-7940(99)00037-8.

Abstract

We report a case of a 62-year-old man with severe manifestations of postoperative coronary artery spasm following effective coronary artery bypass grafting. The coronary artery spasm was manifested by ST segment elevation, hypotension and wall motion abnormalities on echocardiography. Urgent angiography confirmed the diagnosis and intracoronary infusion of nitroglycerine and verapamil relieved the coronary spasm.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Catheterization
  • Coronary Angiography
  • Coronary Artery Bypass / adverse effects*
  • Coronary Disease / surgery
  • Coronary Vasospasm / diagnostic imaging
  • Coronary Vasospasm / drug therapy*
  • Coronary Vasospasm / etiology*
  • Humans
  • Infusions, Intravenous
  • Male
  • Middle Aged
  • Nitroglycerin / administration & dosage
  • Nitroglycerin / therapeutic use
  • Vasodilator Agents / administration & dosage
  • Vasodilator Agents / therapeutic use
  • Verapamil / administration & dosage
  • Verapamil / therapeutic use

Substances

  • Vasodilator Agents
  • Verapamil
  • Nitroglycerin