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Ann Thorac Surg 2007;83:670-672
© 2007 The Society of Thoracic Surgeons

Case Reports

Postoperative Coronary Artery Spasm Complicating Aortic Valve Replacement: Implications for Identification and Treatment

Claudio Pragliola, MDa, Luca Altamura, MDb,*, Giampaolo Niccoli, MDb, Massimo Siviglia, MDb, Stefano De Paulis, MDc, Gian Federico Possati, MD, PhDa

a Institute of Cardiac Surgery, Catholic University of Rome, Rome, Italy
b Institute of Cardiology, Catholic University of Rome, Rome, Italy
c Institute of Cardiac Anesthesia, Catholic University of Rome, Rome, Italy

Accepted for publication June 5, 2006.

* Address correspondence to Dr Altamura, Institute of Cardiology, Catholic University, Rome L.go F. Vito 1, Rome 00168, Italy. (Email: lucaaltamura{at}yahoo.com).

We report a case of coronary spasm soon after aortic valve replacement associated with hemodynamic and arrhythmic instability. The spasm was demonstrated at coronary angiography and was resolved with the intracoronary infusion of nitrates and antiarrhythmics.




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