Postoperative diffuse coronary spasm after two valve surgery – A rare phenomenon
Postoperative coronary artery spasm is one of the grave complications of cardiac surgery and is usually seen in patients undergoing coronary artery bypass surgery. We describe the case of a 63 year old male patient developing postoperative spasm of the entire coronary tree after aortic & mitral...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-09-01
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| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483215001893 |
| _version_ | 1819095116320604160 |
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| author | Tanveer Ahmad Kolkebaile Sadanand Kishore Nandakumar Neralakere Maheshwarappa Ashwini Kumar Pasarad |
| author_facet | Tanveer Ahmad Kolkebaile Sadanand Kishore Nandakumar Neralakere Maheshwarappa Ashwini Kumar Pasarad |
| author_sort | Tanveer Ahmad |
| collection | DOAJ |
| description | Postoperative coronary artery spasm is one of the grave complications of cardiac surgery and is usually seen in patients undergoing coronary artery bypass surgery. We describe the case of a 63 year old male patient developing postoperative spasm of the entire coronary tree after aortic & mitral valve replacement, manifesting as significant electrocardiographic changes. Urgent coronary angiography was performed which revealed diffuse spasm of the entire coronary tree. It resolved completely with intracoronary injection of Nitroglycerine. The present case highlights the likelihood of postoperative coronary spasm even after valve replacement surgery, and not just coronary bypass surgery. It also illustrated the usefulness of coronary angiography for both diagnosis and treatment of this entity. |
| first_indexed | 2024-12-21T23:38:11Z |
| format | Article |
| id | doaj.art-5d4286f8dc5b4189a4323f72b19613f3 |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-21T23:38:11Z |
| publishDate | 2015-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-5d4286f8dc5b4189a4323f72b19613f32022-12-21T18:46:17ZengElsevierIndian Heart Journal0019-48322015-09-0167546546810.1016/j.ihj.2015.06.007Postoperative diffuse coronary spasm after two valve surgery – A rare phenomenonTanveer Ahmad0Kolkebaile Sadanand Kishore1Nandakumar Neralakere Maheshwarappa2Ashwini Kumar Pasarad3Department of Cardiothoracic Surgery, Sagar Hospital-DSI, Banshankari, Bangalore 560078, IndiaDepartment of Cardiology, Sagar Hospital-DSI, Banshankari, Bangalore 560078, IndiaDepartment of Anaesthesia, Sagar Hospital-DSI, Banshankari, Bangalore 560078, IndiaDepartment of Cardiothoracic Surgery, Sagar Hospital-DSI, Banshankari, Bangalore 560078, IndiaPostoperative coronary artery spasm is one of the grave complications of cardiac surgery and is usually seen in patients undergoing coronary artery bypass surgery. We describe the case of a 63 year old male patient developing postoperative spasm of the entire coronary tree after aortic & mitral valve replacement, manifesting as significant electrocardiographic changes. Urgent coronary angiography was performed which revealed diffuse spasm of the entire coronary tree. It resolved completely with intracoronary injection of Nitroglycerine. The present case highlights the likelihood of postoperative coronary spasm even after valve replacement surgery, and not just coronary bypass surgery. It also illustrated the usefulness of coronary angiography for both diagnosis and treatment of this entity.http://www.sciencedirect.com/science/article/pii/S0019483215001893Postoperative coronary spasmDouble valve replacementDiffuse coronary spasmIntracoronary nitroglycerine |
| spellingShingle | Tanveer Ahmad Kolkebaile Sadanand Kishore Nandakumar Neralakere Maheshwarappa Ashwini Kumar Pasarad Postoperative diffuse coronary spasm after two valve surgery – A rare phenomenon Indian Heart Journal Postoperative coronary spasm Double valve replacement Diffuse coronary spasm Intracoronary nitroglycerine |
| title | Postoperative diffuse coronary spasm after two valve surgery – A rare phenomenon |
| title_full | Postoperative diffuse coronary spasm after two valve surgery – A rare phenomenon |
| title_fullStr | Postoperative diffuse coronary spasm after two valve surgery – A rare phenomenon |
| title_full_unstemmed | Postoperative diffuse coronary spasm after two valve surgery – A rare phenomenon |
| title_short | Postoperative diffuse coronary spasm after two valve surgery – A rare phenomenon |
| title_sort | postoperative diffuse coronary spasm after two valve surgery a rare phenomenon |
| topic | Postoperative coronary spasm Double valve replacement Diffuse coronary spasm Intracoronary nitroglycerine |
| url | http://www.sciencedirect.com/science/article/pii/S0019483215001893 |
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