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

Francesco Formica, Oluwaseun Adebayo Bamodu, Serena Mariani, Giovanni Paolini

Research output: Contribution to journalReview article

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 angina pectoris 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.

Original languageEnglish
Pages (from-to)32-38
Number of pages7
JournalIJC Heart and Vasculature
Volume10
DOIs
Publication statusPublished - Mar 1 2016

Keywords

  • Acute coronary syndrome
  • Aortic operation
  • Coronary artery disease
  • Vascular tone and reactivity

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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