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.
Post-valvular surgery multi-vessel coronary artery spasm - A literature review / Formica, Francesco; Bamodu, O; Mariani, S; Paolini, Giovanni. - In: INTERNATIONAL JOURNAL OF CARDIOLOGY. HEART & VASCULATURE. - ISSN 2352-9067. - 10:(2016), pp. 32-38. [10.1016/j.ijcha.2015.10.010]
Post-valvular surgery multi-vessel coronary artery spasm - A literature review
FORMICA, FRANCESCO;
2016-01-01
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
