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Ann Thorac Surg 2008;85:647-649. doi:10.1016/j.athoracsur.2007.08.015
© 2008 The Society of Thoracic Surgeons
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Jeffrey D. McNeil
Renata B. Bastos
Clinton E. Baisden
John H. Calhoon
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Right arrow Coronary disease

Case Reports

Postoperative Internal Thoracic Artery Spasm After Coronary Artery Bypass Grafting

Ralf E. Harskamp, MS*, Jeffrey D. McNeil, MD, Margreet W. van Ginkel, MS, Renata B. Bastos, MD, Clinton E. Baisden, MD, FACS, John H. Calhoon, MD

Division of Cardiothoracic Surgery, Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas

Accepted for publication August 7, 2007.

* Address correspondence to Dr Harskamp, Division of Cardiothoracic Surgery, Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229-3900 (Email: r.e.harskamp{at}gmail.com).

Spasm of the left internal thoracic artery in the perioperative period represents a life-threatening complication after coronary artery bypass grafting. We present a case in which graft spasm was treated with the administration of intra-arterial nitroglycerin and verapamil. Although vasospasm is more often seen in radial artery grafts, this case demonstrates that left internal thoracic artery grafts are also prone to spasm.






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Copyright © 2008 by The Society of Thoracic Surgeons.