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Ann Thorac Surg 2002;73:297-300
© 2002 The Society of Thoracic Surgeons

Case report

Coronary artery spasm and ventricular fibrillation after off-pump coronary surgery

Hartmuth B. Bittner, MD*a

a Department of Surgery, Division of Cardiovascular and Thoracic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

Accepted for publication April 19, 2001.

* Address reprint requests to Dr Bittner, Division of Cardiovascular and Thoracic Surgery, Box 207 Mayo, 420 Delaware St, Minneapolis, MN 55455, USA
e-mail: bittn006{at}tc.umn.edu

Native coronary artery or bypass graft spasm is a rare cause of acute myocardial infarction after coronary artery bypass grafting. This report presents angiographic documentation of native coronary artery spasm following successful multivessel off-pump coronary revascularization, which caused myocardial ischemia leading to inferior wall myocardial infarction and ventricular fibrillatory arrest.




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