title: [Perioperative multivessel coronary vasospasm as a cause of cardiogenic shock immediately after off-pump coronary artery bypass grafting surgery: a case report].
abstract: Perioperative coronary vasospasm has been recognized as a possible cause of myocardial infarction or low output syndrome after open heart operations. A 57-year-old male suffered cardiogenic shock immediately after off-pump coronary artery bypass grafting surgery. Emergent angiography performed under intraaortic balloon pumping and percutaneous cardiopulmonary support revealed severe multivessel coronary vasospasm which was effectively treated with a high dose intracoronary administration of isosorbide dinitrate. Emergent angiography for patients with cardiogenic shock after open heart operation is feasible and effective for the diagnosis and treatment of perioperative coronary vasospasm.
authors.affiliation: Division of Cardiology, Heart Institute, Rinku General Medical Center, Izumisano, Osaka.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Takeda
authors.forename: Yuji
authors.initials: Y
authors.lastname: Yasuga
authors.forename: Rika
authors.initials: R
authors.lastname: Kitazume
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Hayashi
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Nakagawa
authors.forename: Yuhei
authors.initials: Y
authors.lastname: Nojima
authors.forename: Satoru
authors.initials: S
authors.lastname: Sumitsuji
authors.forename: Takafumi
authors.initials: T
authors.lastname: Masai
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Nagai
authors.forename: Yoshikado
authors.initials: Y
authors.lastname: Sasako
authors.forename: Susumu
authors.initials: S
authors.lastname: Nakano
mesh_terms: D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump; D003329:Coronary Vasospasm / Q000150:complications / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000473:pathology; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012770:Shock, Cardiogenic / Q000209:etiology*