Intraoperative Coronary Artery Vasospasm Mimicking Acute Coronary Stent Thrombosis: A Case Report
DOI:
https://doi.org/10.59958/hsf.6873Keywords:
coronary artery, vasospasm, stentAbstract
Coronary artery vasospasm during non-coronary artery surgeries is an extremely rare but potentially life-threatening event. Diagnosing coronary artery vasospasm during surgery is particularly challenging, and identifying the underlying etiology is even more challenging. Herein, we present a case of coronary artery vasospasm that occurred during cardiac tumor resection in a patient who had recently undergone percutaneous coronary intervention for acute ST-elevation myocardial infarction.
References
Seitz A, Martínez Pereyra V, Sechtem U, Ong P. Update on coronary artery spasm 2022 - A narrative review. International Journal of Cardiology. 2022; 359: 1–6.
Matta A, Bouisset F, Lhermusier T, Campelo-Parada F, Elbaz M, Carrié D, et al. Coronary Artery Spasm: New Insights. Journal of Interventional Cardiology. 2020; 2020: 5894586.
Rahmouni El Idrissi K, Chauvette V, Lamarche Y, El-Hamamsy I. Recurrent Coronary Vasospasm After Cardiac Surgery. The Annals of Thoracic Surgery. 2020; 110: e481–e483.
Schena S, Wildes T, Beardslee MA, Lasala JM, Damiano RJ, Jr, Lawton JS. Successful management of unremitting spasm of the nongrafted right coronary artery after off-pump coronary artery bypass grafting. The Journal of Thoracic and Cardiovascular Surgery. 2007; 133: 1649–1650.
Stoica AI, Harpa M, Banceu CM, Kovacs J, Suciu H. Severe Coronary Artery Vasospasm after Mitral Valve Replacement in a Diabetic Patient with Previous Stent Implantation: A Case Report. Journal of Critical Care Medicine (Universitatea De Medicina Si Farmacie Din Targu-Mures). 2022; 8: 131–135.
Sousa-Uva M, Neumann FJ, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. European Journal of Cardio-thoracic Surgery: Official Journal of the European Association for Cardio-thoracic Surgery. 2019; 55: 4–90.
Kim YS, Yoon YH, Kim JT, Shinn HK, Woo SI, Baek WK. Refractory vascular spasm associated with coronary bypass grafting. The Korean Journal of Thoracic and Cardiovascular Surgery. 2014; 47: 468–472.
Hokimoto S, Tabata N, Sueta D, Akasaka T, Tsujita K, Sakamoto K, et al. The real-world prevalence of cardiovascular events related to coronary spasm after percutaneous coronary intervention. Journal of Cardiology. 2016; 68: 20–28.
Giudice P, Attisano T, Di Maio M, Bellino EM, Polito MV, Baldi C, et al. Coronary vasomotion dysfunction after everolimus-eluting stent implantation. Interventional Medicine & Applied Science. 2014; 6: 178–182.
