Diffuse vasospasm following stenting of a free gastroepiploic artery graft: resolution with balloon angioplasty and intensive medical therapy.
Vasospasm following balloon angioplasty of gastroepiploic artery bypass grafts can be prevented or reversed with vasodilators. In our patient, stent deployment for ostial stenosis of a free gastroepiploic artery graft was accompanied by severe, diffuse spasm and a change in graft configuration that required both intensive medical therapy and balloon angioplasty for resolution.
Feld
S
S
Division of Cardiology and Cardiovascular Surgery, University of Texas Health Science Center, Houston, USA.
Kjellgren
O
O
Sweeney
M S
MS
Drtil
A
A
Anderson
H V
HV
Schroth
G
G
Tauss
N
N
Taegtmeyer
H
H
Smalling
R W
RW
D015906:Angioplasty, Balloon, Coronary; D001026:Coronary Artery Bypass / Q000379:methods; D003329:Coronary Vasospasm / Q000150:complications / Q000628:therapy*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D015607:Stents