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Asian Cardiovasc Thorac Ann 2006;14:e21-e23
© 2006 Asia Publishing EXchange Ltd

CASE STUDIES

Intracoronary Adenosine Triphosphate for Refractory Coronary Artery Spasm

Min-Ho Song, MD, Koji Sakurai, MD, Tomohiro Nakayama, MD, Makoto Shirakawa, MD, Hiroaki Hagiwara, MD, Haruo Kamiya, MD1

Department of Cardiovascular Surgery
1 Department of Cardiology, The Japanese Red Cross Nagoya First Hospital Nagoya. Japan

For reprint information contact: Min-Ho Song, MD Tel: 81 57 222 5311 Fax: 81 57 225 1246 Email: songmhmd{at}yahoo.co.jp, Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital, 5-161 Maehata-cho, Tajimi-shi, Gifu 507-8522, Japan.

A 62-year-old woman underwent aortic valve replacement for aortic stenosis. Her hemodynamics deteriorated with ST-T depression 6 hours postoperatively. Emergency coronary catheterization showed diffuse right coronary artery spasm. The spasm persisted despite intracoronary infusion of nitrates and calcium antagonists. Intracoronary adenosine triphosphate infusion finally resolved the spasm and stabilized the cardiac function.






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