title: Acute coronary vasospasm during thoracic spine surgery.
abstract: Cardiac ischemia is a well-known and serious complication during surgery. The authors describe a case of acute coronary vasospasm in a young patient undergoing thoracic laminectomy with biopsy of intramedullary tumor. The possible role of the autonomic nervous system in the causation of acute coronary vasospasm is discussed, and this is highlighted as an unusual cause of myocardial ischemia during thoracic spine surgery.
authors.affiliation: Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India. b_s_krishnan@hotmail.com
authors.forename: B S
authors.initials: BS
authors.lastname: Krishnan
authors.forename: Naveen
authors.initials: N
authors.lastname: Eipe
authors.forename: Grace
authors.initials: G
authors.lastname: Korula
mesh_terms: D000208:Acute Disease; D000328:Adult; D003329:Coronary Vasospasm / Q000188:drug therapy / Q000209:etiology*; D004110:Diltiazem / Q000627:therapeutic use; D006801:Humans; D008297:Male; D019616:Thoracic Surgical Procedures / Q000009:adverse effects*; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents; D004110:Diltiazem