Korean J Thorac Cardiovasc Surg.
2011 Aug;44(4):288-291. 10.5090/kjtcs.2011.44.4.288.
Refractory Coronary Artery Spasm after Minimally Invasive Direct Coronary Artery Bypass Grafting
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. sjchoo@amc.seoul.kr
- 2Department of Thoracic and Cardiovascular Surgery, Sunchoen St. Carollo Hospital, Korea.
- KMID: 1447725
- DOI: http://doi.org/10.5090/kjtcs.2011.44.4.288
Abstract
- Postoperative coronary arterial spasm is a rare but potentially fatal complication. A 51-year-old male patient with a history of a reactive ergonovine stress test coronary angiogram developed refractory coronary artery spasm after undergoing minimally invasive direct coronary artery bypass grafting of the left anterior descending coronary artery. The patient was successfully managed with rapid implementation of intra-aortic balloon-pump counter pulsation and extracorporeal membrane oxygenation.
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