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Eur J Cardiothorac Surg 1999;15:545-548
© 1999 Elsevier Science NL


Case report

Coronary artery spasm after coronary artery bypass grafting

Massimo Caputo, Francesco Nicolini, Giorgio Franciosi, Roberto Gallotti

Department of Cardiac Surgery, `Istituto Clinico Humanitas', Milan, Italy

Received 20 October 1998; received in revised form 31 December 1998; accepted 13 January 1999.

Corresponding author. Tel.: +39-2-8224-4601; fax: +39-2-8224-4691.

We report a case of a 62-year-old man with severe manifestations of postoperative coronary artery spasm following effective coronary artery bypass grafting. The coronary artery spasm was manifested by ST segment elevation, hypotension and wall motion abnormalities on echocardiography. Urgent angiography confirmed the diagnosis and intracoronary infusion of nitroglycerine and verapamil relieved the coronary spasm.

Key Words: Coronary artery spasm • Coronary bypass surgery • Angiography




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Copyright © 1999 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.