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Right arrow Coronary disease
Asian Cardiovasc Thorac Ann 2006;14:158-160
© 2006 Asia Publishing EXchange Ltd

CASE STUDIES

Vasodilator Resistant Lethal Spasm after Uncomplicated Off-Pump Coronary Surgery

Tetsuya Ueno, MD, Kazuyuki Ikeda, MD, Atsushi Nakashima, MD

Division of Cardiovascular Surgery, Ureshino National Hospital Saga, Japan

For reprint information contact: Tetsuya Ueno, MD Tel: 81 99 275 5368 Fax: 81 99 265 8177 Email: tueno{at}m.kufm.kagoshima-u.ac.jp, Department of Thoracic & Cardiovascular Surgery, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima City, Kagoshima 890-8520, Japan.

We report a case of lethal spasm of non-grafted coronary arteries after an uncomplicated off-pump coronary artery bypass grafting in a patient with no predisposing factors other than smoking. Transcatheter intraluminal injection of several vasodilators failed to relieve the spasm. The patient remained in profound cardiogenic shock due to broad acute myocardial infarction and died of multiple organ failure.




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S. Schena, T. Wildes, M. A. Beardslee, J. M. Lasala, R. J. Damiano Jr, and J. S. Lawton
Successful management of unremitting spasm of the nongrafted right coronary artery after off-pump coronary artery bypass grafting
J. Thorac. Cardiovasc. Surg., June 1, 2007; 133(6): 1649 - 1650.
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