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

BACKGROUND: Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion. CASE REPORT: In this article, we present a clinical case of CAS in a 48-year-old woman undergoing elective aortic valve replacement surgery f...

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Autores principales: Alizadeh-Ghavidel, Alireza, Basiri, Hosseinali, Totonchi, Ziae, Mirmesdagh, Yalda, Jalili-Shahandashti, Farshad, Gholizadeh, Behnam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4460353/
https://www.ncbi.nlm.nih.gov/pubmed/26089931
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author Alizadeh-Ghavidel, Alireza
Basiri, Hosseinali
Totonchi, Ziae
Mirmesdagh, Yalda
Jalili-Shahandashti, Farshad
Gholizadeh, Behnam
author_facet Alizadeh-Ghavidel, Alireza
Basiri, Hosseinali
Totonchi, Ziae
Mirmesdagh, Yalda
Jalili-Shahandashti, Farshad
Gholizadeh, Behnam
author_sort Alizadeh-Ghavidel, Alireza
collection PubMed
description BACKGROUND: Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion. CASE REPORT: 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 3rd 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. CONCLUSION: This case shows that delayed coronary spasm should be considered as a cause of hemodynamic instability after valvular surgery.
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spelling pubmed-44603532015-06-18 A rare presentation of late right coronary artery spasm following aortic valve replacement Alizadeh-Ghavidel, Alireza Basiri, Hosseinali Totonchi, Ziae Mirmesdagh, Yalda Jalili-Shahandashti, Farshad Gholizadeh, Behnam ARYA Atheroscler Case Report BACKGROUND: Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion. CASE REPORT: 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 3rd 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. CONCLUSION: This case shows that delayed coronary spasm should be considered as a cause of hemodynamic instability after valvular surgery. Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2015-01 /pmc/articles/PMC4460353/ /pubmed/26089931 Text en © 2014 Isfahan Cardiovascular Research Center & Isfahan University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Case Report
Alizadeh-Ghavidel, Alireza
Basiri, Hosseinali
Totonchi, Ziae
Mirmesdagh, Yalda
Jalili-Shahandashti, Farshad
Gholizadeh, Behnam
A rare presentation of late right coronary artery spasm following aortic valve replacement
title A rare presentation of late right coronary artery spasm following aortic valve replacement
title_full A rare presentation of late right coronary artery spasm following aortic valve replacement
title_fullStr A rare presentation of late right coronary artery spasm following aortic valve replacement
title_full_unstemmed A rare presentation of late right coronary artery spasm following aortic valve replacement
title_short A rare presentation of late right coronary artery spasm following aortic valve replacement
title_sort rare presentation of late right coronary artery spasm following aortic valve replacement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4460353/
https://www.ncbi.nlm.nih.gov/pubmed/26089931
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