Cardiovascular Surgery and Interventions 2020, Vol 7, Num 2 Page(s): 100-103
Quick decision and right management in coronary artery vasospasm following on-pump coronary artery bypass grafting

Ertürk Karaağaç1, Yüksel Beşir2, Şahin İşcan2, Hasan İner2, Ali Gürbüz2

1Department of Cardiovascular Surgery, Muş State Hospital, Muş, Turkey
2Department of Cardiovascular Surgery, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey

Keywords: Angina pectoris; coronary artery bypass grafting, coronary artery vasospasm, myocardial infarction, variant angina
The importance of early diagnosing of coronary artery vasospasm (CAV) which can cause serious, life-threatening hypotension immediately after coronary artery bypass grafting (CABG) is well-known. High endogenous catecholamine levels, vasopressor treatments, vascular endothelial damage due to physical manipulation of the perioperative coronary artery, hypothermia and increased inflammatory response during cardiopulmonary bypass can be counted among the various factors thought to induce CAV in the postoperative period. However, quick decision and right management can be life-saving in CAV. Herein, we present successful treatment of CAV after CABG operation in a 48-year-old active smoker, female patient with cardiological follow-up due to stable angina preoperatively.

DOI : 10.5606/e-cvsi.2020.821