Intractable Left Internal Mammary Artery Spasm After Coronary Artery Bypass Grafting

Graft spasm is a rare but well-recognized complication of coronary artery bypass grafting (CABG). The occurrence of graft spam is multifactorial and can be fatal if not diagnosed and treated promptly. There are no well-defined guidelines for the management of a severe spasm. We report the case of a...

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Detalles Bibliográficos
Autores principales: Vyas, Vrinda, Khan, Alisha, Singh, Avneet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083257/
https://www.ncbi.nlm.nih.gov/pubmed/32211276
http://dx.doi.org/10.7759/cureus.7045
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author Vyas, Vrinda
Khan, Alisha
Singh, Avneet
author_facet Vyas, Vrinda
Khan, Alisha
Singh, Avneet
author_sort Vyas, Vrinda
collection PubMed
description Graft spasm is a rare but well-recognized complication of coronary artery bypass grafting (CABG). The occurrence of graft spam is multifactorial and can be fatal if not diagnosed and treated promptly. There are no well-defined guidelines for the management of a severe spasm. We report the case of a 29-year-old man with left internal mammary artery (LIMA) spasm in the immediate post-operative period following CABG. The intracoronary infusion of nitroglycerin relieved the spasm temporarily, confirming the diagnosis. The patient eventually underwent redo bypass grafting.
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spelling pubmed-70832572020-03-24 Intractable Left Internal Mammary Artery Spasm After Coronary Artery Bypass Grafting Vyas, Vrinda Khan, Alisha Singh, Avneet Cureus Cardiac/Thoracic/Vascular Surgery Graft spasm is a rare but well-recognized complication of coronary artery bypass grafting (CABG). The occurrence of graft spam is multifactorial and can be fatal if not diagnosed and treated promptly. There are no well-defined guidelines for the management of a severe spasm. We report the case of a 29-year-old man with left internal mammary artery (LIMA) spasm in the immediate post-operative period following CABG. The intracoronary infusion of nitroglycerin relieved the spasm temporarily, confirming the diagnosis. The patient eventually underwent redo bypass grafting. Cureus 2020-02-19 /pmc/articles/PMC7083257/ /pubmed/32211276 http://dx.doi.org/10.7759/cureus.7045 Text en Copyright © 2020, Vyas et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Vyas, Vrinda
Khan, Alisha
Singh, Avneet
Intractable Left Internal Mammary Artery Spasm After Coronary Artery Bypass Grafting
title Intractable Left Internal Mammary Artery Spasm After Coronary Artery Bypass Grafting
title_full Intractable Left Internal Mammary Artery Spasm After Coronary Artery Bypass Grafting
title_fullStr Intractable Left Internal Mammary Artery Spasm After Coronary Artery Bypass Grafting
title_full_unstemmed Intractable Left Internal Mammary Artery Spasm After Coronary Artery Bypass Grafting
title_short Intractable Left Internal Mammary Artery Spasm After Coronary Artery Bypass Grafting
title_sort intractable left internal mammary artery spasm after coronary artery bypass grafting
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083257/
https://www.ncbi.nlm.nih.gov/pubmed/32211276
http://dx.doi.org/10.7759/cureus.7045
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AT khanalisha intractableleftinternalmammaryarteryspasmaftercoronaryarterybypassgrafting
AT singhavneet intractableleftinternalmammaryarteryspasmaftercoronaryarterybypassgrafting

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