Coronary artery spasm induced by trigeminal nerve stimulation and vagal reflex during intracranial operation.
This report describes a case of ventricular fibrillation resulting from coronary vasospasm during intracranial operation under general anesthesia. An autonomic response associated with the intracranial procedure caused a coronary spasm, which was worsened by alpha-agonists. Nitroglycerin effectively resolved the coronary spasm and co-complications persisted.
Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School, Osaka, Japan.
N
N
Kariya
H
H
Toyoyama
K
K
Furuichi
H
H
Kubota
Y
Y
Toyoda
D000316:Adrenergic alpha-Agonists / Q000009:adverse effects / Q000627:therapeutic use; D001341:Autonomic Nervous System / Q000187:drug effects / Q000503:physiopathology; D001919:Bradycardia / Q000209:etiology; D003329:Coronary Vasospasm / Q000188:drug therapy / Q000209:etiology*; D003399:Craniotomy / Q000009:adverse effects*; D004562:Electrocardiography / Q000187:drug effects; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008297:Male; D008875:Middle Aged; D005996:Nitroglycerin / Q000627:therapeutic use; D010579:Petrous Bone / Q000601:surgery; D012018:Reflex / Q000187:drug effects / Q000502:physiology*; D017180:Tachycardia, Ventricular / Q000209:etiology; D014276:Trigeminal Nerve / Q000187:drug effects / Q000503:physiopathology*; D014630:Vagus Nerve / Q000187:drug effects / Q000503:physiopathology*; D014665:Vasodilator Agents / Q000627:therapeutic use; D014693:Ventricular Fibrillation / Q000209:etiology
D000316:Adrenergic alpha-Agonists; D014665:Vasodilator Agents; D005996:Nitroglycerin