title: Exercise-induced saphenous vein graft spasm prevented by stenting.
abstract: Recurrence of anginal symptoms following coronary artery bypass surgery is usually secondary to graft closure or progression of native vessel disease. The present case demonstrates severe exercise-induced saphenous vein graft (SVG) spasm associated with transmural ischemia refractory to maximal vasodilator therapy. Symptoms resolved and exercise electrocardiography normalized following stenting of SVG regions demonstrating spasm. © 2017 Wiley Periodicals, Inc.
authors.affiliation: Baptist Health Lexington, Lexington, Kentucky.
authors.forename: William G
authors.initials: WG
authors.lastname: Boliek
authors.affiliation: The Christ Hospital Heart and Vascular Center, The Lindner Research Center, Cincinnati, Ohio.
authors.forename: Dean J
authors.identifier: http://orcid.org/0000-0003-1086-127X
authors.initials: DJ
authors.lastname: Kereiakes
authors.affiliation: Baptist Health Lexington, Lexington, Kentucky.
authors.forename: Atul
authors.initials: A
authors.lastname: Chugh
mesh_terms: D000368:Aged; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery*; D054855:Drug-Eluting Stents; D004562:Electrocardiography; D000068338:Everolimus / Q000494:pharmacology; D015444:Exercise; D005080:Exercise Test / Q000009:adverse effects*; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007166:Immunosuppressive Agents / Q000494:pharmacology; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000637:transplantation; D018084:Ultrasonography, Interventional
chemical_list: D007166:Immunosuppressive Agents; D000068338:Everolimus
keywords: balloon angioplasty; coronary bypass grafts; saphenous vein graft interventions