Cargando…
Postoperative coronary artery spasm after mitral valve replacement()
INTRODUCTION: Postoperative coronary artery spasm is an infrequent life-threatening event after cardiac surgery which can occur without an underlying coronary disease PRESENTATION OF CASE: We report a documented case of a 67-year-old man with normal coronary arteries submitted to mitral valve replac...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4353950/ https://www.ncbi.nlm.nih.gov/pubmed/25680533 http://dx.doi.org/10.1016/j.ijscr.2015.01.049 |
_version_ | 1782360676971315200 |
---|---|
author | Pragliola, Claudio Gaudino, Mario Farina, Piero Massetti, Massimo |
author_facet | Pragliola, Claudio Gaudino, Mario Farina, Piero Massetti, Massimo |
author_sort | Pragliola, Claudio |
collection | PubMed |
description | INTRODUCTION: Postoperative coronary artery spasm is an infrequent life-threatening event after cardiac surgery which can occur without an underlying coronary disease PRESENTATION OF CASE: We report a documented case of a 67-year-old man with normal coronary arteries submitted to mitral valve replacement. Immediately after surgery he had a ST elevation in the inferior leads, and an inferior wall hypokinesia at the trans-oesophageal echo. A coronary angiography demonstrated a focal spasm in the right coronary artery which was successfully treated by intracoronary injection of nitrates. The following postoperative course was uneventful and the left ventricular function returned to normal. DISCUSSION: A coronary artery spasm should be suspected whenever a postoperative infarction occurs after valvular surgery especially in absence of associated coronary artery disease. In this cases postoperative coronary angiography allows both the diagnosis and the treatment. CONCLUSION: This case-report summarizes the findings of this rare and potentially life-threatening cause of early postoperative ischemia and highlights the role of early coronary angiography in the cases of suspected myocardial infarction after cardiac surgery |
format | Online Article Text |
id | pubmed-4353950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-43539502015-03-31 Postoperative coronary artery spasm after mitral valve replacement() Pragliola, Claudio Gaudino, Mario Farina, Piero Massetti, Massimo Int J Surg Case Rep Case Report INTRODUCTION: Postoperative coronary artery spasm is an infrequent life-threatening event after cardiac surgery which can occur without an underlying coronary disease PRESENTATION OF CASE: We report a documented case of a 67-year-old man with normal coronary arteries submitted to mitral valve replacement. Immediately after surgery he had a ST elevation in the inferior leads, and an inferior wall hypokinesia at the trans-oesophageal echo. A coronary angiography demonstrated a focal spasm in the right coronary artery which was successfully treated by intracoronary injection of nitrates. The following postoperative course was uneventful and the left ventricular function returned to normal. DISCUSSION: A coronary artery spasm should be suspected whenever a postoperative infarction occurs after valvular surgery especially in absence of associated coronary artery disease. In this cases postoperative coronary angiography allows both the diagnosis and the treatment. CONCLUSION: This case-report summarizes the findings of this rare and potentially life-threatening cause of early postoperative ischemia and highlights the role of early coronary angiography in the cases of suspected myocardial infarction after cardiac surgery Elsevier 2015-01-31 /pmc/articles/PMC4353950/ /pubmed/25680533 http://dx.doi.org/10.1016/j.ijscr.2015.01.049 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-sa/3.0/ This is an open access article under the CC BY-NC-SA license (http://creativecommons.org/licenses/by-nc-sa/3.0/). |
spellingShingle | Case Report Pragliola, Claudio Gaudino, Mario Farina, Piero Massetti, Massimo Postoperative coronary artery spasm after mitral valve replacement() |
title | Postoperative coronary artery spasm after mitral valve replacement() |
title_full | Postoperative coronary artery spasm after mitral valve replacement() |
title_fullStr | Postoperative coronary artery spasm after mitral valve replacement() |
title_full_unstemmed | Postoperative coronary artery spasm after mitral valve replacement() |
title_short | Postoperative coronary artery spasm after mitral valve replacement() |
title_sort | postoperative coronary artery spasm after mitral valve replacement() |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4353950/ https://www.ncbi.nlm.nih.gov/pubmed/25680533 http://dx.doi.org/10.1016/j.ijscr.2015.01.049 |
work_keys_str_mv | AT pragliolaclaudio postoperativecoronaryarteryspasmaftermitralvalvereplacement AT gaudinomario postoperativecoronaryarteryspasmaftermitralvalvereplacement AT farinapiero postoperativecoronaryarteryspasmaftermitralvalvereplacement AT massettimassimo postoperativecoronaryarteryspasmaftermitralvalvereplacement |