[Severe coronary artery spasm immediately after aortic valve replacement].

@article{Sawaki2010SevereCA,
  title={[Severe coronary artery spasm immediately after aortic valve replacement].},
  author={Sadanari Sawaki and Akio Matsuura and Hideki Kozima Akira Ito and Shunei Saito and Haruki Takemura and Ken Miyahara and Shinichi Ashida and Shunsuke Mori and Akira Takanohashi and Kei Yagami and Masato Usui and Yuuichi Hirate},
  journal={Kyobu geka. The Japanese journal of thoracic surgery},
  year={2010},
  volume={63 2},
  pages={
          102-5
        }
}
We report a case of 72-year-old man with severe manifestations of coronary artery spasm immediately after aortic valve replacement (AVR), which was associated with hemodynamic and arrhythmic instability. The AVR was performed under mild hypothermic cardiopulmonary bypass (34 degrees C), and retrograde blood cardioplegia was intermittently delivered at the same temperature. Immediately after the operation, the patient suddenly developed severe bradycardia and hypotension, and repeated… CONTINUE READING