Vasodilator resistant lethal spasm after uncomplicated off-pump coronary surgery.
We report a case of lethal spasm of non-grafted coronary arteries after an uncomplicated off-pump coronary artery bypass grafting in a patient with no predisposing factors other than smoking. Transcatheter intraluminal injection of several vasodilators failed to relieve the spasm. The patient remained in profound cardiogenic shock due to broad acute myocardial infarction and died of multiple organ failure.
Department of Thoracic & Cardiovascular Surgery, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima City, Kagoshima 890-8520, Japan. tueno@m.kufm.kagoshima-u.ac.jp
Tetsuya
T
Ueno
Kazuyuki
K
Ikeda
Atsushi
A
Nakashima
D000368:Aged; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000601:surgery*; D003329:Coronary Vasospasm / Q000188:drug therapy* / Q000209:etiology*; D004351:Drug Resistance; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D014665:Vasodilator Agents / Q000627:therapeutic use*
D014665:Vasodilator Agents