A rare presentation of late right coronary artery spasm following aortic valve replacement

A rare presentation of late right coronary artery spasm following aortic valve replacement

<div><div><p class="abstract"><strong>BACKGROUND:</strong> Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion.</p> <p class="abstract"><stro...

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Bibliographic Details
Main Authors:	Alireza Alizadeh-Ghavidel, Hosseinali Basiri, Ziae Totonchi, Yalda Mirmesdagh, Farshad Jalili-Shahandashti, Behnam Gholizadeh
Format:	Article
Language:	English
Published:	Vesnu Publications 2015-01-01
Series:	ARYA Atherosclerosis
Subjects:	Aortic Valve Replacement, Coronary Artery Vasospasm, Coronary Artery Disease, Postoperative Complication
Online Access:	http://arya.mui.ac.ir/index.php/arya/article/view/786

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Summary:	<div><div><p class="abstract"><strong>BACKGROUND:</strong> Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion.</p> <p class="abstract"><strong>CASE REPORT:</strong> In this article, we present a clinical case of CAS in a 48-year-old woman undergoing elective aortic valve replacement surgery for aortic stenosis. On the 3<sup>rd</sup> post-operative day, the patient suffered from chest pain and dyspnea. Emergent coronary angiography demonstrated a significant spasm of the ostium portion of the right coronary artery.</p> <p class="abstract"><strong>CONCLUSION: </strong>This case shows that delayed coronary spasm should be considered as a cause of hemodynamic instability after valvular surgery.</p> <p class="abstract"> </p></div><p class="abstract"> </p></div>
ISSN:	1735-3955 2251-6638