Coronary bypass surgery in Prinzmetal angina.
A case of Prinzmetal angina, characterized by spontaneous attacks of chest pain associated with hypotension, inferior wall ST-segment elevation, and transient second degree A-V block, is presented in which coronary arteriography demonstrated spasm of the right coronary artery. Aortocoronary bypass surgery, a questionable approach in the treatment of this entity, afforded complete symptomatic relief. The multiple problems inherent in selecting patients and proper operative technique are discussed.
D000787:Angina Pectoris / Q000188:drug therapy / Q000601:surgery*; D000792:Angiography; D001026:Coronary Artery Bypass; D004562:Electrocardiography; D006801:Humans; D007022:Hypotension; D008297:Male; D008875:Middle Aged; D005996:Nitroglycerin / Q000627:therapeutic use
D005996:Nitroglycerin