Coronary Artery Spasm Following Off-Pump Coronary Artery Bypass Surgery
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- Unai Shinya
- Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University
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- Hirose Hitoshi
- Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University
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- Cook Gary
- Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University
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- Lee Yangsin
- Department of Cardiovascular Surgery, Mitsui Memorial Hospital
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- Miura Sumio
- Department of Cardiovascular Surgery, Mitsui Memorial Hospital
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- Kigawa Ikutaro
- Department of Cardiovascular Surgery, Totsuka Kyoritsu Second Hospital
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- Fukuda Sachito
- Department of Cardiovascular Surgery, Mitsui Memorial Hospital
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- 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
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- International Heart Journal
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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