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European Journal of Cardio-Thoracic Surgery, Vol 4, 398-400, Copyright © 1990 by European Association for Cardio-thoracic Surgery

ARTICLES

Coronary artery spasm during mitral valve replacement

H Shafei and JG Bennett
National Heart Hospital, London, UK.

Coronary artery spasm has been reported as a cause of myocardial ischaemia and necrosis during and after coronary revascularisation [1- 4, 9, 11, 13, 14], but not after valve replacement. We report a case in which profound myocardial ischaemia after mitral valve replacement leading to difficulty in terminating cardiopulmonary bypass was caused by coronary vasospasm. It is suggested that coronary vasospasm has to be considered among the causes of myocardial insufficiency after cardiopulmonary bypass, even in the absence of coronary artery disease, and effective treatment may be obtained by coronary vasodilating drugs.

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