Coronary artery spasm with ventricular tachycardia after administration of methoxamine during cervical epidural anesthesia--a case report.
Coronary artery spasm occurred during thoracotomy under cervical epidural anesthesia in a 60-year-old male patient who had no prior history of myocardial ischemia. It is most likely that the administration of methoxamine induced the spasm. Hypotension and venodilatation induced by the epidural anesthesia and increased vagal tone might also contribute to the spasm.
Mizuyama
K
K
Department of Anaesthesiology, University of Tsukuba, Japan.
Dohi
S
S
Harukuni
I
I
D000767:Anesthesia, Epidural; D003327:Coronary Disease / Q000139:chemically induced*; D006801:Humans; D008297:Male; D008729:Methoxamine / Q000009:adverse effects*; D008875:Middle Aged; D013035:Spasm / Q000139:chemically induced; D017180:Tachycardia, Ventricular / Q000139:chemically induced*; D013908:Thoracotomy
D008729:Methoxamine