A rare presentation of late right coronary artery spasm following aortic valve replacement

ARYA Atherosclerosis

Hosseinali Basiri¹  Yalda Mirmesdagh²  Alireza Alizadeh-Ghavidel²  Farshad Jalili-Shahandashti³  Behnam Gholizadeh³  Ziae Totonchi³ 

[1] Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran;Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran;Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran;

关键词: Aortic Valve Replacement, Coronary Artery Vasospasm, Coronary Artery Disease, Postoperative Complication;   

DOI  :  

来源: DOAJ

【 摘 要 】

BACKGROUND: Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion.

CASE REPORT: In this article, we present a clinical case of CAS in a 48-year-old woman undergoing elective aortic valve replacement surgery for aortic stenosis. On the 3^rd post-operative day, the patient suffered from chest pain and dyspnea. Emergent coronary angiography demonstrated a significant spasm of the ostium portion of the right coronary artery.

CONCLUSION: This case shows that delayed coronary spasm should be considered as a cause of hemodynamic instability after valvular surgery.

 

 

【 授权许可】

Unknown