Coronary Artery Spasm Following Off-Pump Coronary Artery Bypass Surgery

  • Unai Shinya
    Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University
  • Hirose Hitoshi
    Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University
  • Cook Gary
    Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University
  • Lee Yangsin
    Department of Cardiovascular Surgery, Mitsui Memorial Hospital
  • Miura Sumio
    Department of Cardiovascular Surgery, Mitsui Memorial Hospital
  • Kigawa Ikutaro
    Department of Cardiovascular Surgery, Totsuka Kyoritsu Second Hospital
  • Fukuda Sachito
    Department of Cardiovascular Surgery, Mitsui Memorial Hospital
  • Miyairi Takeshi
    Department of Cardiovascular Surgery, St. Marianna University

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抄録

Coronary artery spasm after coronary artery bypass surgery may result in life-threatening arrhythmias, circulatory collapse, or death. We report two cases of coronary artery spasm after coronary artery bypass surgery, one of which developed ventricular fibrillation requiring extracorporeal membrane oxygenation support. Both patients were discharged in good condition and are currently followed as outpatients. Unexpected sudden hemodynamic compromise could be due to coronary vasospasm, and this should be considered as one of the possible differential diagnoses. We were able to prevent the lethal consequences seen with coronary artery spasm by early diagnosis and management.

収録刊行物

  • International Heart Journal

    International Heart Journal 55 (5), 451-454, 2014

    一般社団法人 インターナショナル・ハート・ジャーナル刊行会

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参考文献 (33)*注記

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