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Case Reports
. 2010 Apr;25(4):641-3.
doi: 10.3346/jkms.2010.25.4.641. Epub 2010 Mar 19.

Native coronary artery and grafted artery spasm just after coronary artery bypass grafting: a case report

Jong Hyun Baek  1 , Sung Sae Han, Dong Hyup Lee
Affiliations
Case Reports

Native coronary artery and grafted artery spasm just after coronary artery bypass grafting: a case report

Jong Hyun Baek et al. J Korean Med Sci. 2010 Apr.

Abstract

Native coronary artery spasm after coronary artery bypass grafting (CABG) is scarce. It frequently causes disastrous circulatory collapse. We report a 72-yr-old male, who experienced native coronary artery spasm and grafted artery spasm following CABG, which was successfully treated with coronary angiography and intracoronary injection of nitroglycerine.

Keywords: Coronary Artery Bypass; Coronary Vasospasm.

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Figures

Fig. 1
Fig. 1
Preoperative & postoperative coronary angiography. I. Preoperative coronary angiogram shows significant stenosis at distal left main coronary artery (A, arrowhead). Also shows normal right coronary artery (B). II. Postoperative coronary angiogram (about 2 hr after operation) shows severe spastic narrowing at grafted native coronary arteries (A, left anterior descending and left circumflex arteries), untouched native coronary artery (B, right coronary artery) and composite Y-graft (C, internal thoracic artery-radial artery). III. After intracoronary nitroglycerine injection, coronary angiography shows relief of spastic narrowing at grafted, non-grafted native coronary arteries (A, left anterior descending artery and B, right coronary artery), and composite Y-graft (C).
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