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The Annals of Thoracic Surgery, Vol 44, 199-200, Copyright © 1987 by The Society of Thoracic Surgeons
MR Sarabu, JA McClung, A Fass and GE Reed
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.
ARTICLES
Early postoperative spasm in left internal mammary artery bypass grafts
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