A rare presentation of late right coronary artery spasm following aortic valve replacement
oleh: Alireza Alizadeh-Ghavidel, Hosseinali Basiri, Ziae Totonchi, Yalda Mirmesdagh, Farshad Jalili-Shahandashti, Behnam Gholizadeh
| Format: | Article |
|---|---|
| Diterbitkan: | Vesnu Publications 2015-01-01 |
Deskripsi
<div><div><p class="abstract"><strong>BACKGROUND:</strong> Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion.</p> <p class="abstract"><strong>CASE REPORT:</strong> In this article, we present a clinical case of CAS in a 48-year-old woman undergoing elective aortic valve replacement surgery for aortic stenosis. On the 3<sup>rd</sup> post-operative day, the patient suffered from chest pain and dyspnea. Emergent coronary angiography demonstrated a significant spasm of the ostium portion of the right coronary artery.</p> <p class="abstract"><strong>CONCLUSION: </strong>This case shows that delayed coronary spasm should be considered as a cause of hemodynamic instability after valvular surgery.</p> <p class="abstract"> </p></div><p class="abstract"> </p></div>