Korean J Thorac Cardiovasc Surg.  2000 May;33(5):428-431.

Right Gastroepiploic Artery Spasm during Pst-CABG Coronary Angiography

• Song H
• Lim HJ
• Lee CH
• Hong MG

Abstract

In the mid 1980's, the ITA(internal thoracic artery) graft was clearly recognized to be superior to the sapheonous vein graft in respect to long term patency. Therefore, there has been growing interest in the arterial conduit with the possibility of improving the long term result. We have been performing CABG with GEA since 1998 with the same purpose. For mid-term and long-term follow up, we have been performing postoperative coronary angiography. In this paper, a case of GEA spasm, a purported drawback of this conduit, during postoperative coronary anigiography and relieved by direct infusion of 200 microgram isoket into the GEA is reported. The current case which exemplifies the spastic nature of RGEA is accompanied with coronary angiography.

Keyword

Gastroepiploic artery; Coronary artery bypass graft; Spasm

MeSH Terms

Coronary Angiography*
Follow-Up Studies
Gastroepiploic Artery*
Isosorbide Dinitrate
Muscle Spasticity
Spasm*
Transplants
Veins
Isosorbide Dinitrate