[Intraoperative coronary artery spasm with cardiac arrest: cardiologic acute intervention].
Ventricular fibrillation occurred intraoperatively during a laparoscopy-assisted resection of the rectum in a 63-year-old patient. A coronary artery spasm was identified as the cause. It was possible to rectify the coronary artery spasm and restore a stable circulatory situation with an intracoronary injection of nitroglycerine. Excellent interdisciplinary cooperation combined with favourable timing and spatial conditions, made this outcome possible for the patient without neurological deficits. In addition to presenting the actual treatment procedure, possible underlying pathogenetic mechanisms will also be presented.
Fiderer
W
W
Klinik für Anaesthesie und Operative Intensivmedizin, St. Vincentius-Kliniken gAG, Steinhäuserstrasse 18, 76135, Karlsruhe. walter.fiderer@vincentius-ka.de
Grosse
W
W
Biscoping
J
J
D000758:Anesthesia; D001784:Blood Gas Analysis; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006323:Heart Arrest / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007431:Intraoperative Complications / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D005996:Nitroglycerin / Q000627:therapeutic use; D012007:Rectum / Q000601:surgery; D014665:Vasodilator Agents / Q000627:therapeutic use; D014693:Ventricular Fibrillation / Q000209:etiology / Q000503:physiopathology / Q000628:therapy
D014665:Vasodilator Agents; D005996:Nitroglycerin