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Ann Thorac Surg 2000;69:625-628
© 2000 The Society of Thoracic Surgeons

Case Reports

Injection of vasodilators into arterial grafts through cardiac catheter to relieve spasm

Guo-Wei He, MD, PhDa, Katherine Yue-Yan Fan, MRCPa, Shui-Wah Chiu, FRCSa, Wing-Hing Chow, FRCPa

a Division of Cardiothoracic Surgery, Department of Surgery and Cardiac Medical Unit, University of Hong Kong, Grantham Hospital, Hong Kong, China

Address reprint requests to Dr He, Division of Cardiothoracic Surgery, University of Hong Kong, Grantham Hospital, 125 Wong Chuk Hang Rd, Aberdeen, Hong Kong, China
e-mail: gwhe{at}hkucc.hku.hk

Both native coronary artery and coronary bypass grafts may develop vasospasm after coronary artery bypass grafting. We recommend that whenever there is a high suspicion of vasospasm in arterial grafts and the native coronary artery unresponsive to or not suitable for usual vasodilator therapy, prompt selective graft arteriogram should be performed. Intraluminal injection of vasodilators such as calcium antagonists in combination with nitroglycerin may provide an effective antispastic therapy and this procedure could be lifesaving as demonstrated in the present report.




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