Coronary spasm as a cause of perioperative myocardial infarction.
The case of a patient with severe left main trunk disease is presented, in which spasm of the right coronary artery resulted in intraoperative myocardial ischemia and perioperative myocardial infarction. It is suggested that coronary spasm may be a cause of perioperative myocardial infarction, and has to be considered in case of unknown etiology.
D000787:Angina Pectoris / Q000209:etiology / Q000503:physiopathology; D006328:Cardiac Catheterization; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D003329:Coronary Vasospasm / Q000150:complications* / Q000503:physiopathology; D004562:Electrocardiography; D004874:Ergonovine / Q000031:analogs & derivatives; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology* / Q000503:physiopathology; D011183:Postoperative Complications / Q000209:etiology
D004874:Ergonovine