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KMID : 0370920140310020122
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Yeungnam Univercity Journal of Medicine
2014 Volume.31 No. 2 p.122 ~ p.126
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Coronary artery vasospasm after atrial septal defect surgery
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Yoon Jin-Won
Lee Young-Soo
Kim Dong-Keun
Choi Young-Hoon
Kim Dong-Ju
Lee Jae-Jin
Ahn Hyo-Seung
Cho Wook-Hyun
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Abstract
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Coronary vasospasm is one of the fatal complications that may occur in patients undergoing open heart surgery. To date, however, there are not many cases in this series and no definite pathophysiology has been documented. We experienced a case of coronary artery vasospasm after atrial septal defect (ASD) surgery and then successfully treated it with both transbrachial intra-aortic balloon pump and percutaneous cardiopulmonary support. Only several hours after ASD surgery, the patient exhibited the cardiovascular collapse, the ST-segment elevation, followed by ventricular fibrillation and normal coronary angiography findings. It is important to make a differential diagnosis of coronary artery vasospasm in patients presenting with ST-segment elevation who had no notable coronary artery diseases. This case indicates that clinicians should be aware of the possibility that the coronary artery vasospasm may also occur in patients undergoing ASD surgery.
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KEYWORD
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Arterial heart septal defects, Cardiovascular diseases, Cardiopulmonary resuscitation, Surgical procedures operative
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