Caputo M, Nicolini F, Franciosi G, Gallotti R
Department of Cardiac Surgery, Istituto Clinico Humanitas, Milan, Italy.
Eur J Cardiothorac Surg. 1999 Apr;15(4):545-8. doi: 10.1016/s1010-7940(99)00037-8.
We report a case of a 62-year-old man with severe manifestations of postoperative coronary artery spasm following effective coronary artery bypass grafting. The coronary artery spasm was manifested by ST segment elevation, hypotension and wall motion abnormalities on echocardiography. Urgent angiography confirmed the diagnosis and intracoronary infusion of nitroglycerine and verapamil relieved the coronary spasm.
我们报告一例62岁男性患者,在冠状动脉旁路移植术成功后出现严重的术后冠状动脉痉挛表现。冠状动脉痉挛表现为ST段抬高、低血压以及超声心动图显示的室壁运动异常。紧急血管造影确诊后,冠状动脉内输注硝酸甘油和维拉帕米缓解了冠状动脉痉挛。