Chen Chen, Chen Yi, Zhang Xiao, Zou Liang
Department of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
National Clinical Research Center for Cardiovascular Diseases, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Interdiscip Cardiovasc Thorac Surg. 2024 May 2;38(5). doi: 10.1093/icvts/ivae085.
Postoperative coronary artery spasm, a rare but potentially fatal complication following cardiac surgery, warrants significant attention. This report discusses a 64-year-old male who suffered a severe coronary artery spasm leading to cardiac arrest following surgery. Initially stable, the patient rapidly developed critical ventricular arrhythmias and hypotension, resulting in cardiac arrest 4 h post-surgery. Emergency coronary angiography revealed extensive spasms, successfully managed with intracoronary nitroglycerine. This case stresses prompt recognition and management of coronary artery spasm after non-coronary cardiac procedures, underscoring coronary angiography's vital role in diagnosis and treatment.
术后冠状动脉痉挛是心脏手术后一种罕见但可能致命的并发症，值得高度关注。本报告讨论了一名64岁男性，他在手术后发生严重冠状动脉痉挛，导致心脏骤停。患者最初情况稳定，但迅速出现严重室性心律失常和低血压，在术后4小时导致心脏骤停。紧急冠状动脉造影显示广泛痉挛，经冠状动脉内注射硝酸甘油成功处理。该病例强调在非冠状动脉心脏手术后应迅速识别和处理冠状动脉痉挛，突显冠状动脉造影在诊断和治疗中的重要作用。
