Fatal Vasospasm of the Coronary Arteries in a Patient Undergoing Distal Bypass Surgery and Endovascular Therapy for Threatened Lower Limbs Due to Acute Exacerbation of Peripheral Arterial Disease

A 79-year-old man with a heavy smoking history presented with threatened lower limbs due to acute exacerbation of peripheral artery disease (PAD). He underwent emergent distal bypass surgery for the right leg and external iliac stenting for the left leg. Fatal coronary artery spasm (CAS) with ST seg...

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Autores principales: Takeyoshi, Daisuke, Kikuchi, Shinsuke, Miyake, Keisuke, Tatsukawa, Takamitsu, Kobayashi, Daita, Uchida, Daiki, Kitani, Yuya, Kamiya, Hiroyuki, Azuma, Nobuyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200607/
https://www.ncbi.nlm.nih.gov/pubmed/30402193
http://dx.doi.org/10.3400/avd.cr.18-00050
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author Takeyoshi, Daisuke
Kikuchi, Shinsuke
Miyake, Keisuke
Tatsukawa, Takamitsu
Kobayashi, Daita
Uchida, Daiki
Kitani, Yuya
Kamiya, Hiroyuki
Azuma, Nobuyoshi
author_facet Takeyoshi, Daisuke
Kikuchi, Shinsuke
Miyake, Keisuke
Tatsukawa, Takamitsu
Kobayashi, Daita
Uchida, Daiki
Kitani, Yuya
Kamiya, Hiroyuki
Azuma, Nobuyoshi
author_sort Takeyoshi, Daisuke
collection PubMed
description A 79-year-old man with a heavy smoking history presented with threatened lower limbs due to acute exacerbation of peripheral artery disease (PAD). He underwent emergent distal bypass surgery for the right leg and external iliac stenting for the left leg. Fatal coronary artery spasm (CAS) with ST segment changes on electrocardiography was observed 28 h after the procedures, resulting in cardiac arrest. Coronary angiography showed widespread CAS with improvement after intra-arterial nitroglycerin infusion. We should keep in mind that CAS may occur more frequently than expected in PAD patients, especially those who have not stopped smoking prior to revascularization.
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spelling pubmed-62006072018-11-06 Fatal Vasospasm of the Coronary Arteries in a Patient Undergoing Distal Bypass Surgery and Endovascular Therapy for Threatened Lower Limbs Due to Acute Exacerbation of Peripheral Arterial Disease Takeyoshi, Daisuke Kikuchi, Shinsuke Miyake, Keisuke Tatsukawa, Takamitsu Kobayashi, Daita Uchida, Daiki Kitani, Yuya Kamiya, Hiroyuki Azuma, Nobuyoshi Ann Vasc Dis Case Report A 79-year-old man with a heavy smoking history presented with threatened lower limbs due to acute exacerbation of peripheral artery disease (PAD). He underwent emergent distal bypass surgery for the right leg and external iliac stenting for the left leg. Fatal coronary artery spasm (CAS) with ST segment changes on electrocardiography was observed 28 h after the procedures, resulting in cardiac arrest. Coronary angiography showed widespread CAS with improvement after intra-arterial nitroglycerin infusion. We should keep in mind that CAS may occur more frequently than expected in PAD patients, especially those who have not stopped smoking prior to revascularization. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018-09-25 /pmc/articles/PMC6200607/ /pubmed/30402193 http://dx.doi.org/10.3400/avd.cr.18-00050 Text en Copyright © 2018 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2018 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Takeyoshi, Daisuke
Kikuchi, Shinsuke
Miyake, Keisuke
Tatsukawa, Takamitsu
Kobayashi, Daita
Uchida, Daiki
Kitani, Yuya
Kamiya, Hiroyuki
Azuma, Nobuyoshi
Fatal Vasospasm of the Coronary Arteries in a Patient Undergoing Distal Bypass Surgery and Endovascular Therapy for Threatened Lower Limbs Due to Acute Exacerbation of Peripheral Arterial Disease
title Fatal Vasospasm of the Coronary Arteries in a Patient Undergoing Distal Bypass Surgery and Endovascular Therapy for Threatened Lower Limbs Due to Acute Exacerbation of Peripheral Arterial Disease
title_full Fatal Vasospasm of the Coronary Arteries in a Patient Undergoing Distal Bypass Surgery and Endovascular Therapy for Threatened Lower Limbs Due to Acute Exacerbation of Peripheral Arterial Disease
title_fullStr Fatal Vasospasm of the Coronary Arteries in a Patient Undergoing Distal Bypass Surgery and Endovascular Therapy for Threatened Lower Limbs Due to Acute Exacerbation of Peripheral Arterial Disease
title_full_unstemmed Fatal Vasospasm of the Coronary Arteries in a Patient Undergoing Distal Bypass Surgery and Endovascular Therapy for Threatened Lower Limbs Due to Acute Exacerbation of Peripheral Arterial Disease
title_short Fatal Vasospasm of the Coronary Arteries in a Patient Undergoing Distal Bypass Surgery and Endovascular Therapy for Threatened Lower Limbs Due to Acute Exacerbation of Peripheral Arterial Disease
title_sort fatal vasospasm of the coronary arteries in a patient undergoing distal bypass surgery and endovascular therapy for threatened lower limbs due to acute exacerbation of peripheral arterial disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200607/
https://www.ncbi.nlm.nih.gov/pubmed/30402193
http://dx.doi.org/10.3400/avd.cr.18-00050
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