Recurrent intraoperative coronary artery spasm in a patient with coronary artery aneurysm

Angela T. Truong; Dam Thuy Truong; David L. Brown

doi:10.1016/j.jclinane.2006.03.012

Recurrent intraoperative coronary artery spasm in a patient with coronary artery aneurysm

Angela T. Truong, Dam Thuy Truong, David L. Brown

Anesthesiology & PeriOperative Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Coronary artery spasm (CAS) may result from endothelial dysfunction in nonobstructed arteries. Its complications include myocardial infarction, dysrhythmias, and death. It is difficult to diagnose CAS during general anesthesia because it closely mimics obstructive ischemia. We report the case of a patient who demonstrated intraoperative CAS during two separate surgeries. Angiography after the first surgery showed nonobstructed coronary anatomy. During the second surgery, recurrence of acute ST elevations caused by CAS rapidly responded to nitroglycerin. A high index of suspicion for CAS as a cause of intraoperative ischemia is necessary for an early diagnosis, treatment, and a favorable outcome.

Original language	English (US)
Pages (from-to)	530-533
Number of pages	4
Journal	Journal of Clinical Anesthesia
Volume	18
Issue number	7
DOIs	https://doi.org/10.1016/j.jclinane.2006.03.012
State	Published - Nov 2006

Keywords

Coronary artery aneurysm
Endothelial dysfunction
Recurrent coronary artery spasm

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1016/j.jclinane.2006.03.012

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title = "Recurrent intraoperative coronary artery spasm in a patient with coronary artery aneurysm",

abstract = "Coronary artery spasm (CAS) may result from endothelial dysfunction in nonobstructed arteries. Its complications include myocardial infarction, dysrhythmias, and death. It is difficult to diagnose CAS during general anesthesia because it closely mimics obstructive ischemia. We report the case of a patient who demonstrated intraoperative CAS during two separate surgeries. Angiography after the first surgery showed nonobstructed coronary anatomy. During the second surgery, recurrence of acute ST elevations caused by CAS rapidly responded to nitroglycerin. A high index of suspicion for CAS as a cause of intraoperative ischemia is necessary for an early diagnosis, treatment, and a favorable outcome.",

keywords = "Coronary artery aneurysm, Endothelial dysfunction, Recurrent coronary artery spasm",

author = "Truong, {Angela T.} and Truong, {Dam Thuy} and Brown, {David L.}",

year = "2006",

month = nov,

doi = "10.1016/j.jclinane.2006.03.012",

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T1 - Recurrent intraoperative coronary artery spasm in a patient with coronary artery aneurysm

AU - Truong, Angela T.

AU - Truong, Dam Thuy

AU - Brown, David L.

PY - 2006/11

Y1 - 2006/11

N2 - Coronary artery spasm (CAS) may result from endothelial dysfunction in nonobstructed arteries. Its complications include myocardial infarction, dysrhythmias, and death. It is difficult to diagnose CAS during general anesthesia because it closely mimics obstructive ischemia. We report the case of a patient who demonstrated intraoperative CAS during two separate surgeries. Angiography after the first surgery showed nonobstructed coronary anatomy. During the second surgery, recurrence of acute ST elevations caused by CAS rapidly responded to nitroglycerin. A high index of suspicion for CAS as a cause of intraoperative ischemia is necessary for an early diagnosis, treatment, and a favorable outcome.

AB - Coronary artery spasm (CAS) may result from endothelial dysfunction in nonobstructed arteries. Its complications include myocardial infarction, dysrhythmias, and death. It is difficult to diagnose CAS during general anesthesia because it closely mimics obstructive ischemia. We report the case of a patient who demonstrated intraoperative CAS during two separate surgeries. Angiography after the first surgery showed nonobstructed coronary anatomy. During the second surgery, recurrence of acute ST elevations caused by CAS rapidly responded to nitroglycerin. A high index of suspicion for CAS as a cause of intraoperative ischemia is necessary for an early diagnosis, treatment, and a favorable outcome.

KW - Coronary artery aneurysm

KW - Endothelial dysfunction

KW - Recurrent coronary artery spasm

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AN - SCOPUS:33751281400

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VL - 18

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JO - Journal of Clinical Anesthesia

JF - Journal of Clinical Anesthesia

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ER -

Recurrent intraoperative coronary artery spasm in a patient with coronary artery aneurysm

Abstract

Keywords

ASJC Scopus subject areas

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