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Yeungnam Univ J Med > Volume 31(2); 2014 > Article
Yeungnam University Journal of Medicine 2014;31(2):122-126.
DOI: https://doi.org/10.12701/yujm.2014.31.2.122    Published online December 31, 2014.
Coronary artery vasospasm after atrial septal defect surgery.
Jin Won Yoon, Young Soo Lee, Dong Keun Kim, Young Hoon Choi, Dong Ju Kim, Jae Jin Lee, Hyo Seung Ahn, Wook Hyun Cho
1Division of Cardiology, Department of Internal Medicine, Sahmyook Medical Center, Seoul, Korea. mulgang@gmail.com
2Department of Thoracic and Cardiovascular Surgery, Sahmyook Medical Center, Seoul, Korea.
Abstract
Coronary vasospasm is one of the fatal complications that may occur in patients undergoing open heart surgery. To date, however, there are not many cases in this series and no definite pathophysiology has been documented. We experienced a case of coronary artery vasospasm after atrial septal defect (ASD) surgery and then successfully treated it with both transbrachial intra-aortic balloon pump and percutaneous cardiopulmonary support. Only several hours after ASD surgery, the patient exhibited the cardiovascular collapse, the ST-segment elevation, followed by ventricular fibrillation and normal coronary angiography findings. It is important to make a differential diagnosis of coronary artery vasospasm in patients presenting with ST-segment elevation who had no notable coronary artery diseases. This case indicates that clinicians should be aware of the possibility that the coronary artery vasospasm may also occur in patients undergoing ASD surgery.
Key Words: Arterial heart septal defects, Cardiovascular diseases, Cardiopulmonary resuscitation, Surgical procedures operative
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