Diffuse coronary artery spasm treated by extracorporeal membrane oxygenation.
Diffuse coronary vasospasm is an unpredictable and serious complication following coronary artery bypass surgery. The treatment of this emergency is dependent on patient suitability for angiography and direct injection of vasodilators into the affected vessels. In patients unable to proceed to angiography the diagnosis can only be suspected but treatment is nevertheless still towards reinstitution of coronary blood flow. We present one such case in which re-grafting and extracorporeal membranous oxygenation proved successful in restoring cardiac function in a patient with diffuse coronary artery spasm.
Department of Cardiothoracic Surgery, The Royal Melbourne Hospital, Melbourne, Victoria, Australia. chez.smith@mh.org.au
Chez
C
Smith
Enoch
E
Akowuah
Sanjay
S
Theodore
Robin
R
Brown
D000328:Adult; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods; D003329:Coronary Vasospasm / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006801:Humans