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Early Diffuse Coronary Artery Spasm After Heart Valve Surgery in the Carcinoid Syndrome
Author(s) -
Anselmi Amedeo,
Corbineau Hervé,
Boulmier Dominique,
Ruggieri Vito Giovanni
Publication year - 2013
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12138
Subject(s) - medicine , cardiology , carcinoid heart disease , perioperative , carcinoid syndrome , coronary artery disease , coronary arteries , context (archaeology) , artery , surgery , paleontology , biology
Background Coronary spasm has been described in the context of carcinoid heart disease, but few information are avilable over perioperative coronary spasm. Methods We describe the case of a patient developing severe spasm of the entire coronary tree immediately after tricuspid valve surgery for carcinoid heart disease, leading to severe myocardial failure. Results The spasm was diagnosed by coronary angiography and resolved by intracoronary injection of trinitrine. We present the angiographic features of simultaneous spasm of all coronary arteries and of its evolution. Conclusion The present case illustrates the likelihood of perioperative spasm of the entire coronary tree in carcinoid heart disease, and the usefulness of coronary angiography for both diagnosis and treatment. doi: 10.1111/jocs.12138 (J Card Surg 2013;28:402–403)