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Refractory Vascular Spasm Associated with Coronary Bypass Grafting
Diffuse refractory vascular spasms associated with coronary bypass artery grafting (CABG) are rare but devastating. A 42-year-old male patient with a past history of stent insertion was referred for the surgical treatment of a recurrent left main coronary artery disease. A hemodynamic derangement de...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Society for Thoracic and Cardiovascular Surgery
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207106/ https://www.ncbi.nlm.nih.gov/pubmed/25346903 http://dx.doi.org/10.5090/kjtcs.2014.47.5.468 |
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author | Kim, Young Sam Yoon, Yong Han Kim, Jeoung Taek Shinn, Helen Ki Woo, Seong Ill Baek, Wan Ki |
author_facet | Kim, Young Sam Yoon, Yong Han Kim, Jeoung Taek Shinn, Helen Ki Woo, Seong Ill Baek, Wan Ki |
author_sort | Kim, Young Sam |
collection | PubMed |
description | Diffuse refractory vascular spasms associated with coronary bypass artery grafting (CABG) are rare but devastating. A 42-year-old male patient with a past history of stent insertion was referred for the surgical treatment of a recurrent left main coronary artery disease. A hemodynamic derangement developed during graft harvesting, necessitating a hurried initiation of cardiopulmonary bypass (CPB). Although CABG was carried out as planned, the patient could not be weaned from the bypass. An emergency coronary angiography demonstrated a diffuse spasm of both native coronary arteries and grafts. CPB was switched to the femorofemoral extracorporeal membrane oxygenator (ECMO). Although he managed to recover from heart failure, his discharge was delayed due to the ischemic injury of the lower limb secondary to cannulation for ECMO. We reviewed the case and literature, placing emphasis on the predisposing factors and appropriate management. |
format | Online Article Text |
id | pubmed-4207106 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | The Korean Society for Thoracic and Cardiovascular Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-42071062014-10-24 Refractory Vascular Spasm Associated with Coronary Bypass Grafting Kim, Young Sam Yoon, Yong Han Kim, Jeoung Taek Shinn, Helen Ki Woo, Seong Ill Baek, Wan Ki Korean J Thorac Cardiovasc Surg Case Report Diffuse refractory vascular spasms associated with coronary bypass artery grafting (CABG) are rare but devastating. A 42-year-old male patient with a past history of stent insertion was referred for the surgical treatment of a recurrent left main coronary artery disease. A hemodynamic derangement developed during graft harvesting, necessitating a hurried initiation of cardiopulmonary bypass (CPB). Although CABG was carried out as planned, the patient could not be weaned from the bypass. An emergency coronary angiography demonstrated a diffuse spasm of both native coronary arteries and grafts. CPB was switched to the femorofemoral extracorporeal membrane oxygenator (ECMO). Although he managed to recover from heart failure, his discharge was delayed due to the ischemic injury of the lower limb secondary to cannulation for ECMO. We reviewed the case and literature, placing emphasis on the predisposing factors and appropriate management. The Korean Society for Thoracic and Cardiovascular Surgery 2014-10 2014-10-05 /pmc/articles/PMC4207106/ /pubmed/25346903 http://dx.doi.org/10.5090/kjtcs.2014.47.5.468 Text en Copyright © 2014 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Young Sam Yoon, Yong Han Kim, Jeoung Taek Shinn, Helen Ki Woo, Seong Ill Baek, Wan Ki Refractory Vascular Spasm Associated with Coronary Bypass Grafting |
title | Refractory Vascular Spasm Associated with Coronary Bypass Grafting |
title_full | Refractory Vascular Spasm Associated with Coronary Bypass Grafting |
title_fullStr | Refractory Vascular Spasm Associated with Coronary Bypass Grafting |
title_full_unstemmed | Refractory Vascular Spasm Associated with Coronary Bypass Grafting |
title_short | Refractory Vascular Spasm Associated with Coronary Bypass Grafting |
title_sort | refractory vascular spasm associated with coronary bypass grafting |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207106/ https://www.ncbi.nlm.nih.gov/pubmed/25346903 http://dx.doi.org/10.5090/kjtcs.2014.47.5.468 |
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