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Eur J Cardiothorac Surg 2009;36:191. doi:10.1016/j.ejcts.2009.03.046
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Coronary artery spasm after mitral and tricuspid annuloplasty

Elena Casquero*, Darío Durán, Vanesa Asorey, Rocío Casais

Department of Cardiac Surgery, Hospital Meixoeiro, Vigo, Spain

Received 16 January 2009; received in revised form 17 March 2009; accepted 22 March 2009.

* Corresponding author. Address: Servicio de Cirugía Cardiaca, Hospital Meixoeiro, Camino Meixoeiro s/n, 36200, Vigo, Spain. Tel.: +34 986811180; fax: +34 986811182. (Email: ecasquerov{at}hotmail.com).

Key Words: Coronary artery spasm • Annuloplasty • Coronary angiography

A 75-year-old woman, with normal coronary arteries (Fig. 1 ), underwent uneventful mitrotricuspid annuloplasty. At ICU, sudden electrical and hemodynamic instability occurred. Echocardiography showed ventricular dysfunction without valve dysfunction. Coronariography demonstrated diffuse vasospasm (Fig. 2 ). Hemodynamic stabilization was obtained after intracoronary nitroglycerine and intra-aortic balloon pump. She made a full recovery.


Figure 1
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  		Fig. 1. Preoperative coronary angiography showing normal coronary arteries.

 

Figure 2
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  		Fig. 2. Postoperative coronary angiography showing a diffuse spasm of the left coronary tree (on the left) and the right coronary artery (on the right).

 





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Rocío Casais
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Right arrow Articles by Casais, R.
Related Collections
Right arrow Cardiac - other
Right arrow Coronary disease
Right arrow Extracorporeal circulation
Right arrow Valve disease

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