Postoperative coronary artery spasm complicating aortic valve replacement: implications for identification and treatment.
We report a case of coronary spasm soon after aortic valve replacement associated with hemodynamic and arrhythmic instability. The spasm was demonstrated at coronary angiography and was resolved with the intracoronary infusion of nitrates and antiarrhythmics.
Pragliola
Claudio
C
Institute of Cardiac Surgery, Catholic University of Rome, Rome, Italy.
Altamura
Luca
L
Niccoli
Giampaolo
G
Siviglia
Massimo
M
De Paulis
Stefano
S
Possati
Gian Federico
GF
D000368:Aged; D000638:Amiodarone / Q000627:therapeutic use; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D004359:Drug Therapy, Combination; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D007269:Injections, Intra-Arterial; D008297:Male; D009566:Nitrates / Q000008:administration & dosage / Q000627:therapeutic use; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000627:therapeutic use; D014700:Verapamil / Q000008:administration & dosage / Q000627:therapeutic use
D000889:Anti-Arrhythmia Agents; D009566:Nitrates; D014665:Vasodilator Agents; D014700:Verapamil; D000638:Amiodarone