Resuscitated cardiac arrest caused by coronary artery spasm after coronary artery bypass grafting: A case report-.
10.17085/apm.2017.12.2.155
- Author:
Jungchan PARK
1
;
Jiyeon PARK
;
Sang Min LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sangminm.lee@samsung.com
- Publication Type:Case Report
- Keywords:
Cardiac arrest;
Coronary artery bypass grafting;
Coronary artery spasm;
Nitroglycerin;
Percutaneous coronary intervention
- MeSH:
Chest Pain;
Coronary Angiography;
Coronary Artery Bypass*;
Coronary Vessels*;
Heart Arrest*;
Humans;
Nitroglycerin;
Percutaneous Coronary Intervention;
Resuscitation;
Rheology;
Spasm*;
Stents;
Syringes;
Thorax;
Transplants
- From:Anesthesia and Pain Medicine
2017;12(2):155-158
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report successful resuscitation of a patient after cardiac arrest on postoperative day 4 after coronary artery bypass grafting (CABG). The patient underwent proximal right coronary artery stent insertion 1 year preceding his CABG, and in-stent restenosis of the stent was found on coronary angiography (CAG). CABG was planned. The patient was treated with a nitroglycerin (NTG) for chest pain, and in the holding area of the operating theater, his chest pain resumed during brief cessation of the NTG while changing the syringe pump. Intraoperatively, normal flow was confirmed at the graft site with flowmetry, while the patient received a NTG infusion. On postoperative day 4, the patient developed chest pain and a subsequent cardiac arrest. He was resuscitated with chest compressions alone, and emergent CAG was performed. It showed coronary artery spasm of the left anterior descending coronary artery, confirmed by provocation testing. The patient was discharged with symptoms well controlled on oral medications.
