A rare case of late onset saphenous vein graft spasm

Autor:	Nirmal Guragai, Upamanyu Rampal, Rahul Vasudev, Hiten Patel, Meherwan B Joshi, Fayez Shamoon
Jazyk:	angličtina
Rok vydání:	2017
Předmět:	Saphenous vein graft spasm arterial graft spasm percutaneous coronary angiogram angina symptoms coronary artery bypass grafting Internal medicine RC31-1245
Zdroj:	Journal of Community Hospital Internal Medicine Perspectives, Vol 7, Iss 5, Pp 332-335 (2017)
Druh dokumentu:	article
ISSN:	2000-9666 20009666
DOI:	10.1080/20009666.2017.1379851
Popis:	Spasm following coronary artery bypass graft surgery has been well established in arterial grafts, especially in grafts utilizing the internal mammary. Venous graft spasms are uncommon and are only observed in vein grafts during or soon after the coronary artery bypass surgery. It is exceedingly rare to see spasm of venous graft beyond one year of surgery. We report a 72-year-old female who had coronary artery bypass graft three years ago and presented with new onset chest pain for one month. The coronary angiogram revealed severe spasm of the proximal aspect of a patent saphenous venous graft which was relieved by intracoronary nitroglycerine. Patient was successfully managed using combination of anti-spasmodic medications (nitrates and calcium channel blockers) leading to long-term resolution of her anginal symptoms.
Databáze:	Directory of Open Access Journals
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