Bobba Christopher M, Hoffberger Robert S, Azarrafiy Ryan, Spratt John R, Martin Tomas D, Demos Daniel, Jeng Eric I, Beaver Thomas M
Division of Cardiovascular Surgery, Department of Surgery, University of Florida, Gainesville, Florida.
UF Health Aortic Disease Center, University of Florida, Gainesville, Florida.
Ann Thorac Surg Short Rep. 2024 Jul 15;2(4):729-731. doi: 10.1016/j.atssr.2024.06.022. eCollection 2024 Dec.
Coronary vasospasm involves constriction of the coronary arteries and has been described after manipulation of the coronary arteries (ie, after stenting or bypass grafting). This report details the case of a 57-year-old man who presented with an endoleak after thoracic endovascular aortic repair. He underwent a frozen elephant trunk procedure and postoperatively had diffuse coronary vasospasm, demonstrated on pre- and post-vasospasm cardiac catheterization. He required venoarterial extracorporeal membrane oxygenation for hemodynamic support and experienced complete recovery of cardiac function over the subsequent week. This case highlights the rarity of diffuse coronary vasospasm, documents its possibility after aortic surgery, and characterizes its successful treatment.
冠状动脉痉挛涉及冠状动脉的收缩，在冠状动脉操作后（如支架置入或搭桥手术后）已有相关描述。本报告详细介绍了一名57岁男性的病例，该患者在胸主动脉腔内修复术后出现内漏。他接受了“象鼻”支架植入术，术后出现弥漫性冠状动脉痉挛，血管痉挛前后的心脏导管检查证实了这一点。他需要静脉-动脉体外膜肺氧合进行血流动力学支持，并在随后一周内心脏功能完全恢复。该病例突出了弥漫性冠状动脉痉挛的罕见性，记录了主动脉手术后发生这种情况的可能性，并描述了其成功的治疗方法。
