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Interact CardioVasc Thorac Surg 2007;6:387-388. doi:10.1510/icvts.2006.145474
© 2007 European Association of Cardio-Thoracic Surgery
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Paulo Pinho
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Negative results - Coronary

Coronary artery spasm following aortic valve replacement

Teresa Pinho, Jorge Almeida*, Mota Garcia and Paulo Pinho

Department of Cardiology and Centre of Cardiothoracic Surgery, S. João Hospital, Porto, Portugal

*Corresponding author: Serviço de Cirurgia Torácica, Hospital de São João, Alameda Prof. Hernâni Monteiro, 4202-451 Porto, Portugal Tel.: +351-225502417.

E-mail address: jalmeida{at}hsjoao.min-saude.pt (J. Almeida).

The authors present a clinical case of coronary artery spasm in a 62-year-old woman undergoing elective aortic valve replacement surgery for aortic regurgitation. On admission at ICU, the patient developed marked hemodynamic and electrical instability. Emergent coronary angiography demonstrated a pronounced spasm of the distal portion of the right coronary artery, apparently related to compression of this vessel by a chest drain tube.

Key Words: Aortic valve replacement; Coronary artery spasm; Chest drain tube


Related Article

ICVTS on-line discussion A Coronary artery spasm: chest drainage or something else
Narcis Hudorovic
Interactive CardioVascular and Thoracic Surgery 2007 6: 388-389. [Full Text] [PDF]



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N. Hudorovic
ICVTS on-line discussion A Coronary artery spasm: chest drainage or something else
Interactive CardioVascular and Thoracic Surgery, June 1, 2007; 6(3): 388 - 389.
[Full Text] [PDF]


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