Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Low Cardiac Output Syndrome Caused by a Coronary Artery Spasm following CABG

관상동맥 우회술 직후에 발생한 자가 혈관의 연축에 의한 저심박출

  • Kim, Young-Hak (Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital, College of Medicine, Hanyang University) ;
  • Chung, Yoon-Sang (Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital, College of Medicine, Hanyang University) ;
  • Kang, Jeong-Ho (Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital, College of Medicine, Hanyang University) ;
  • Chung, Won-Sang (Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital, College of Medicine, Hanyang University) ;
  • Shinn, Sung-Ho (Department of Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital, College of Medicine, Hanyang University) ;
  • Kim, Hyuck (Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital, College of Medicine, Hanyang University)
  • 김영학 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 정윤상 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 강정호 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 정원상 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 신성호 (한양대학교 의과대학 구리병원 흉부외과학교실) ;
  • 김혁 (한양대학교 의과대학 서울병원 흉부외과학교실)
  • Published : 2007.09.05
Download PDF
⟨ Previous Next ⟩

Abstract

Coronary artery spasm immediately after the coronary artery bypass graft (CABG) surgery is rare but it can cause sudden and severe hypotension or a ventricular arrhythmia. We report a case of low cardiac output syndrome caused by a right coronary artery spasm following CABG that did not show any significant stenotic lesions on preoperative coronary angiography.

관상동맥 우회술 직후에 발생하는 자가혈관의 연축은 흔하게 발생하지는 않지만, 갑작스럽게 발생하는 심한 저혈압 상태나 심실성 부정맥의 원인이 될 수 있다. 수술 전 관상동맥 조영술에서 의미있는 협착이 없어 우회술을 시행하지 않았던 우 관상동맥의 연축 현상에 의한 저심박출의 발생에 관한 증례를 보고하고자 한다.

Keywords

References

  1. Lemmer JH, Kirsh MM. Coronary artery spasm following coronary artery surgery. Ann Thorac Surg 1988;46:108-15 https://doi.org/10.1016/S0003-4975(10)65869-9
  2. Buxton AE, Goldberg S, Harken A, Hirshfield J Jr, Kastor JA. Coronary-artery spasm immediately after myocardial revascularization: recognition and management. N Engl J Med 1981;304:1249-53 https://doi.org/10.1056/NEJM198105213042101
  3. Lockerman ZS, Rose DM, Cunningham JN Jr, Lichstein E. Postoperative S'I-segment elevation in coronary artery bypass surgery. Chest 1986;89:647 https://doi.org/10.1378/chest.89.5.647
  4. Lemmer JH, Kirsh MM. Coronary artery spasm following coronary artery surgery. Ann Thorac Surg 1988;46:108-15 https://doi.org/10.1016/S0003-4975(10)65869-9
  5. Paterson HS, Jones MW, Baird DK, Hughes CF. Lethal postoperative coronary spasm. Ann Thorac Surg 1998;65:1571-3 https://doi.org/10.1016/S0003-4975(98)00098-8