Chung Jaewook, Kang Jeehoon, Lee Hae-Young, Sohn Suk Ho, Hwang Ho Young, Cho Hyun-Jai
Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Department of Critical Care Medicine, Seoul National University Hospital, Seoul, Korea.
Korean J Transplant. 2022 Jun 30;36(2):154-158. doi: 10.4285/kjt.22.0006. Epub 2022 Jun 13.
Coronary artery spasm after heart transplantation is a very rare complication. In one observational study and many anecdotal reports, most cases of coronary artery spasm occurred more than 1 year after surgery and had good outcomes. However, cases of intractable coronary artery spasm during the early postoperative period resulting in fatality are limited. This report presents a case of two cardiac arrests caused by coronary artery spasms within a short period of time after heart transplantation.
心脏移植术后冠状动脉痉挛是一种非常罕见的并发症。在一项观察性研究和许多轶事报道中,大多数冠状动脉痉挛病例发生在术后1年以上,且预后良好。然而,术后早期发生顽固性冠状动脉痉挛并导致死亡的病例有限。本报告介绍了一例心脏移植术后短期内因冠状动脉痉挛导致两次心脏骤停的病例。