title: Coronary-artery spasm after coronary artery bypass graft surgery without extracorporeal circulation: diagnostic and management.
abstract: Coronary artery spasm in perioperative of coronary artery bypass graft surgery is a serious complication, with high rate mortality. Patient 51 years-old submitted to coronary artery bypass graft surgery without Extracorporeal Circulation. The patient evolved in 1st post operative (PO) day with enzymatic alteration and ST-elevation, developing soon afterwards in ventricular fibrillation, defibrillation with success. Cardiac catheterization showed important spasm of all coronary arteries and anastomosis between the left internal thoracic artery and the left anterior interventricular artery. Intracoronary Vasodilators and intra-graft, with re-establishment of their usual and immediate calibers to improve clinic and Hemodynamic stability was used. Satisfactory evolution, discharged at 13rd PO day.
authors.affiliation: Hospital Beneficência Portuguesa, São Paulo, Brazil. davidc.neto @ gmail.com
authors.forename: Joaquim David
authors.initials: JD
authors.lastname: Carneiro Neto
authors.forename: José Antonio de
authors.initials: JA
authors.lastname: Lima Neto
authors.forename: Rosa Maria da Costa
authors.initials: RM
authors.lastname: Simões
authors.forename: Noedir Antonio Groppo
authors.initials: NA
authors.lastname: Stolf
mesh_terms: D006328:Cardiac Catheterization; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003329:Coronary Vasospasm / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007548:Isosorbide Dinitrate / Q000031:analogs & derivatives* / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D005996:Nitroglycerin / Q000627:therapeutic use*; D014665:Vasodilator Agents / Q000627:therapeutic use*
chemical_list: D014665:Vasodilator Agents; D005996:Nitroglycerin; D007548:Isosorbide Dinitrate; C030397:isosorbide-5-mononitrate