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Resuscitated cardiac arrest caused by coronary artery spasm after coronary artery bypass grafting: A case report-
Anesthesia and Pain Medicine ; : 155-158, 2017.
Artículo en Inglés | WPRIM | ID: wpr-28771
ABSTRACT
We report successful resuscitation of a patient after cardiac arrest on postoperative day 4 after coronary artery bypass grafting (CABG). The patient underwent proximal right coronary artery stent insertion 1 year preceding his CABG, and in-stent restenosis of the stent was found on coronary angiography (CAG). CABG was planned. The patient was treated with a nitroglycerin (NTG) for chest pain, and in the holding area of the operating theater, his chest pain resumed during brief cessation of the NTG while changing the syringe pump. Intraoperatively, normal flow was confirmed at the graft site with flowmetry, while the patient received a NTG infusion. On postoperative day 4, the patient developed chest pain and a subsequent cardiac arrest. He was resuscitated with chest compressions alone, and emergent CAG was performed. It showed coronary artery spasm of the left anterior descending coronary artery, confirmed by provocation testing. The patient was discharged with symptoms well controlled on oral medications.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Resucitación / Reología / Espasmo / Jeringas / Tórax / Dolor en el Pecho / Stents / Puente de Arteria Coronaria / Angiografía Coronaria / Nitroglicerina Límite: Humanos Idioma: Inglés Revista: Anesthesia and Pain Medicine Año: 2017 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Resucitación / Reología / Espasmo / Jeringas / Tórax / Dolor en el Pecho / Stents / Puente de Arteria Coronaria / Angiografía Coronaria / Nitroglicerina Límite: Humanos Idioma: Inglés Revista: Anesthesia and Pain Medicine Año: 2017 Tipo del documento: Artículo