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Ann Thorac Surg 1987;44:199-200
© 1987 The Society of Thoracic Surgeons
Divisions of Cardiothoracic Surgery and Cardiology, Departments of Surgery and Medicine, New York Medical College, Westchester Medical Center, Valhalla, NY
Accepted for publication September 12, 1986.
* Address reprints to Dr. Sarabu, Division of Cardiothoracic Surgery, New York Medical College, Westchester Medical Center, Valhalla, NY 10596
Two patients with early postoperative spasm of a left internal mammary artery bypass graft are described. To our knowledge, this entity has not been reported previously. Both patients were characterized by vasomotor collapse secondary to intractable spasm responsive only to local application of vasodilator agents. Although the mechanism of graft spasm is not clear, prophylactic nifedipine therapy in appropriate dose may be of some value. The profound hemodynamic effect of internal mammary artery spasm in the immediate postoperative period may allow no time for anything other than emergency reoperation to assess the nature of the problem and treat it appropriately.
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J. A. M. van Son, F. Smedts, P. C. M. de Wilde, N. H. J. Pijls, L. Wong-Alcala, K. Kubat, G. Tavilla, and L. K. Lacquet Histological study of the internal mammary artery with emphasis on its suitability as a coronary artery bypass graft Ann. Thorac. Surg., January 1, 1993; 55(1): 106 - 113. [Abstract] [PDF]
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C. Acar, V. A. Jebara, M. Portoghese, B. Beyssen, J. Y. Pagny, P. Grare, J. C. Chachques, J.-N. Fabiani, A. Deloche, J. L. Guermonprez, et al. Revival of the radial artery for coronary artery bypass grafting Ann. Thorac. Surg., October 1, 1992; 54(4): 652 - 660. [Abstract] [PDF]
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C. Millier, P. A. C. Watt, T. J. Spyt, and H. Thurston Contraction and relaxation of human internal mammary artery after intraluminal administration of papaverine Ann. Thorac. Surg., June 1, 1992; 53(6): 1033 - 1037. [Abstract] [PDF]
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G. Massa, S. Johansson, P.-O. Kimblad, T. Sjoberg, and S. Steen Might free arterial grafts fail due to spasm? Ann. Thorac. Surg., January 1, 1991; 51(1): 94 - 101. [Abstract] [PDF]
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T. O. Cheng Pharmacological responses of internal mammary artery grafts Ann. Thorac. Surg., November 1, 1989; 48(5): 747 - 747. [PDF]
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S. Kitamuro Reply Ann. Thorac. Surg., November 1, 1989; 48(5): 747 - 748. [PDF]
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S. Kitamura, R. Morita, K. Kawachi, S. Iioka, T. Seki, K. Inoue, and S. Taniguchi Different responses of coronary artery and internal mammary artery bypass grafts to ergonovine and nitroglycerin in variant angina Ann. Thorac. Surg., May 1, 1989; 47(5): 756 - 760. [Abstract] [PDF]
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N. Furusho, H. Araki, K. Nishi, and Y. Miyauchi Effect of cold cardioplegic solution and hypothermia on response to acetylcholine in perfused epicardial coronary artery of pig Ann. Thorac. Surg., February 1, 1989; 47(2): 287 - 292. [Abstract] [PDF]
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C. Blanche and A. Chaux Spasm in Mammary Artery Grafts Ann. Thorac. Surg., May 1, 1988; 45(5): 586 - 586. [PDF]
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