Coronary artery spasm during anesthesia for liver resection.
Intraoperative coronary artery spasm (CAS) is rare, and most cases have been reported during cardiac surgery (4, 7, 12). The following is a case report of a patient undergoing liver resection developing CAS, resulting in well-documented ST-segment elevation in lead II and V5 of the electrocardiogram (ECG) and severe hemodynamic instability. The coronary spasm was successfully treated with intravenous nitroglycerin. Postoperatively, a coronary angiogram documented CAS in the absence of significant coronary artery disease, confirming the clinical diagnosis of CAS.
Hendrickx
J F
JF
Department of Anesthesiology, Intensive Care and Pain Therapy, Catharina Hospital, Eindhoven, The Netherlands.
Van Zundert
A A
AA
De Wolf
A M
AM
D000771:Anesthesia, Intravenous / Q000009:adverse effects; D018686:Anesthetics, Intravenous / Q000008:administration & dosage*; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007275:Injections, Intravenous; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000188:drug therapy; D008875:Middle Aged; D005996:Nitroglycerin / Q000008:administration & dosage / Q000627:therapeutic use; D013610:Tachycardia / Q000209:etiology; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000627:therapeutic use
D018686:Anesthetics, Intravenous; D014665:Vasodilator Agents; D005996:Nitroglycerin