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Diffuse coronary artery spasm treated by extracorporeal membrane oxygenation
Author(s) -
C. H. SMITH,
Enoch Akowuah,
Sanjay Theodore,
Robin Brown
Publication year - 2009
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2009.03.005
Subject(s) - medicine , vasospasm , artery , cardiology , angiography , extracorporeal membrane oxygenation , coronary vasospasm , complication , bypass grafting , coronary artery bypass surgery , vasodilation , extracorporeal circulation , coronary angiography , anesthesia , myocardial infarction , subarachnoid hemorrhage
Diffuse coronary vasospasm is an unpredictable and serious complication following coronary artery bypass surgery. The treatment of this emergency is dependent on patient suitability for angiography and direct injection of vasodilators into the affected vessels. In patients unable to proceed to angiography the diagnosis can only be suspected but treatment is nevertheless still towards reinstitution of coronary blood flow. We present one such case in which re-grafting and extracorporeal membranous oxygenation proved successful in restoring cardiac function in a patient with diffuse coronary artery spasm.

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