Successful Management of Refractory Lethal Coronary Spasm after Off-Pump Coronary Bypass Grafting
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概要
- 論文の詳細を見る
Coronary artery spasm after coronary artery bypass grafting is a rare cause of acute myocardial infarction. A 68-year-old man who successfully tolerated off-pump coronary artery bypass grafting had a life-threatening spasm at 16 hours postoperatively. Emergent coronary angiography was performed and demonstrated whole vessel spasm of the bilateral coronary arteries and completely patent grafts. Several transcatheter intracoronary injections of vasodilators failed to relieve the spasm completely. After observation in ICU for 4 days with intra-aortic balloon pumping and a high dose of catecholamine, cardiac function was re-established and the patient recovered.
- 2012-08-01
著者
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Asai Tohru
Division Of Cardiology Kanazawa Cardiovascular Hospital
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SUZUKI Tomoaki
Division of Cardiovascular Surgery, Shiga University of Medical Science
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Kinoshita Takeshi
Division Of Cardiovascular Surgery Shiga University Of Medical Science
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Hosoba Soh
Division Of Cardiovascular And Thoracic Surgery Shiga University Of Medical Science
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Takashima Noriyuki
Division Of Cardiovascular And Thoracic Surgery Shiga University Of Medical Science
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Suzuki Tomoaki
Division Of Cardiovascular And Thoracic Surgery Shiga University Of Medical Science
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HOSOBA Soh
Division of Cardiovascular Surgery, Shiga University of Medical Science
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TAKASHIMA Noriyuki
Division of Cardiovascular Surgery, Shiga University of Medical Science
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KURYANAGI Satoshi
Division of Cardiovascular Surgery, Shiga University of Medical Science
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NOTA Hiromitsu
Division of Cardiovascular Surgery, Shiga University of Medical Science
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ASAI Tohru
Division of Cardiovascular Surgery, Shiga University of Medical Science
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