Intracoronary adenosine triphosphate for refractory coronary artery spasm.
A 62-year-old woman underwent aortic valve replacement for aortic stenosis. Her hemodynamics deteriorated with ST-T depression 6 hours postoperatively. Emergency coronary catheterization showed diffuse right coronary artery spasm. The spasm persisted despite intracoronary infusion of nitrates and calcium antagonists. Intracoronary adenosine triphosphate infusion finally resolved the spasm and stabilized the cardiac function.
Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital, 5-161 Maehata-cho, Tajimi-shi, Gifu 507-8522, Japan. songmhmd@yahoo.co.jp
Min-Ho
MH
Song
Koji
K
Sakurai
Tomohiro
T
Nakayama
Makoto
M
Shirakawa
Hiroaki
H
Hagiwara
Haruo
H
Kamiya
D000255:Adenosine Triphosphate / Q000008:administration & dosage*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D003329:Coronary Vasospasm / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology*; D005260:Female; D006801:Humans; D007267:Injections; D007269:Injections, Intra-Arterial; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography
D000255:Adenosine Triphosphate