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KMID : 0364020110440040288
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Korean Journal of Thoracic and Cardiovascular Surgery
2011 Volume.44 No. 4 p.288 ~ p.291
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Refractory Coronary Artery Spasm after Minimally Invasive Direct Coronary Artery Bypass Grafting
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Ju Min-Ho
Kim Joon-Bum
Kim Hee-Jung
Choo Suk-Jung
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Abstract
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Postoperative coronary arterial spasm is a rare but potentially fatal complication. A 51-year-old male patient with a history of a reactive ergonovine stress test coronary angiogram developed refractory coronary artery spasm after undergoing minimally invasive direct coronary artery bypass grafting of the left anterior descending coronary artery. The patient was successfully managed with rapid implementation of intra-aortic balloon-pump counter pulsation and extracorporeal membrane oxygenation.
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KEYWORD
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Coronary artery bypass surgery, Assistive devices, Vasospasm, Myocardial injury, Minimal invasive surgery
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