Coronary artery spasm during coronary artery bypass surgery: Its diagnosis, treatment and prevention View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1988-11

AUTHORS

Katsuo Fuse, Haruo Makuuchi, Toshio Konishi, Shigemoto nkkanishi, Shinichiro Nishiyama, Yasuyuki Hosoda, Hiroshi Yamaguchi

ABSTRACT

Between 1982 and 1983, we experienced four cases of hemodynamic collapse accompanied by an ST-segment depression in the ECG lead II, shortly after the cessation of cardiopulmonary bypass. The bypass graft flows monitored in these patients during the hemodynamic collapse episodes were remarkably low. In three cases, nitroglycerin (0.5-1 mg) was injected directly into the vein graft, which increased the graft flow suddenly, returned the ST-segment to the baseline, and improved the circulatory condition. Since 1984, however, diltiazem has been used in the cardioplegic solution and postoperative drip infusion. Due to the introduction of this drug, coronary artery spasm has not been seen in any of our patients since. These findings show that the monitoring of ST-segment changes and bypass graft flows are useful in the early diagnosis of coronary artery spasm after myocardial revascularization. Direct infusion of nitroglycerin into the vein graft is effective for the treatment of spasm, while diltiazem is useful in the prevention of coronary artery spasm incidental to myocardial revascularization. More... »

PAGES

626-635

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02471522

DOI

http://dx.doi.org/10.1007/bf02471522

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1042398973

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/3150018


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