Yeungnam Univ J Med.
2014 Dec;31(2):122-126. 10.12701/yujm.2014.31.2.122.
Coronary artery vasospasm after atrial septal defect surgery
- Affiliations
-
- 1Division of Cardiology, Department of Internal Medicine, Sahmyook Medical Center, Seoul, Korea. mulgang@gmail.com
- 2Department of Thoracic and Cardiovascular Surgery, Sahmyook Medical Center, Seoul, Korea.
- KMID: 1909820
- DOI: http://doi.org/10.12701/yujm.2014.31.2.122
Abstract
- Coronary vasospasm is one of the fatal complications that may occur in patients undergoing open heart surgery. To date, however, there are not many cases in this series and no definite pathophysiology has been documented. We experienced a case of coronary artery vasospasm after atrial septal defect (ASD) surgery and then successfully treated it with both transbrachial intra-aortic balloon pump and percutaneous cardiopulmonary support. Only several hours after ASD surgery, the patient exhibited the cardiovascular collapse, the ST-segment elevation, followed by ventricular fibrillation and normal coronary angiography findings. It is important to make a differential diagnosis of coronary artery vasospasm in patients presenting with ST-segment elevation who had no notable coronary artery diseases. This case indicates that clinicians should be aware of the possibility that the coronary artery vasospasm may also occur in patients undergoing ASD surgery.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Coronary Artery Fistula Associated with Atrial Septal Defect: Report of one case
- Coronary Stent Fracture in a Patient with an Atrial Septal Defect and Severe Pulmonary Hypertension
- A Case of Atrial Septal Defect in Identical Twins
- Bilateral coronary arteriovenous fistula coexistent with atrial septal defect and pulmonary stenosis
- Bilateral Coronary Artery-Right Ventricular Fistula in Newborn: Associated with Atrial Septal Defect
