title: Postoperative coronary artery spasm complicating aortic valve replacement: implications for identification and treatment.
abstract: 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.
authors.affiliation: Institute of Cardiac Surgery, Catholic University of Rome, Rome, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Pragliola
authors.forename: Luca
authors.initials: L
authors.lastname: Altamura
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Niccoli
authors.forename: Massimo
authors.initials: M
authors.lastname: Siviglia
authors.forename: Stefano
authors.initials: S
authors.lastname: De Paulis
authors.forename: Gian Federico
authors.initials: GF
authors.lastname: Possati
mesh_terms: 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
chemical_list: D000889:Anti-Arrhythmia Agents; D009566:Nitrates; D014665:Vasodilator Agents; D014700:Verapamil; D000638:Amiodarone