Chest Pain due to Coronary Artery Vasospasm after Aortic Valve Replacement Surgery - A case report -

대동맥판막 치환술 시행 환자에서 발생한 관상동맥 경축에 의한 흉통 - 1예 보고 -

  • Kwon, Jong-Bum (Department of Thoracic and Cardiovascular Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Kyung-Soo (Department of Thoracic and Cardiovascular Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Jong-Ho (Department of Thoracic and Cardiovascular Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Yoon, Hee-Jeoung (Department of Cardiology, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Her, Sung-Ho (Department of Cardiology, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Jong-Min (Department of Cardiology, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Ji, Seung-Won (Department of Cardiology, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, Kuhn (Department of Thoracic and Cardiovascular Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 권종범 (가톨릭대학교 의과대학 대전성모병원 흉부외과학교실) ;
  • 김경수 (가톨릭대학교 의과대학 대전성모병원 흉부외과학교실) ;
  • 이종호 (가톨릭대학교 의과대학 대전성모병원 흉부외과학교실) ;
  • 윤희정 (가톨릭대학교 의과대학 대전성모병원 순환기내과학교실) ;
  • 허성호 (가톨릭대학교 의과대학 대전성모병원 순환기내과학교실) ;
  • 이종민 (가톨릭대학교 의과대학 대전성모병원 순환기내과학교실) ;
  • 진승원 (가톨릭대학교 의과대학 대전성모병원 순환기내과학교실) ;
  • 박건 (가톨릭대학교 의과대학 대전성모병원 흉부외과학교실)
  • Published : 2007.10.05

Abstract

Coronary artery vasospasm results in transient, abrupt chest pain that's due to the increased vasomotor tone of the coronary artery, and this can cause myocardial ischemia. We report here or one case of the right coronary artery vasospasm after aortic valve replacement surgery, and this was due to severe aortic regurgitation.

관상동맥 경축은 일시적으로 갑작스럽게 관상동맥이 수축하여 흉통이 발생하고 심근의 경색을 일으키는 것으로 알려져 있다. 중증도의 대동맥판 폐쇄 부전으로 대동맥판막 치환 수술 후 외래 추적 관찰 중 생긴 급성심근경색의 원인으로 검사상 우측 관상동맥 경축으로 밝혀진 예가 있어 보고합니다.

Keywords

References

  1. Buxton AE, Hirshfeld JW Jr, Untereker WJ, et al. Perioperative coronary arterial spasm: long-term follow- up. Am J Cardiol 1982;50:444-51 https://doi.org/10.1016/0002-9149(82)90308-3
  2. Yasue H, Kugiyama K. Coronary spasm: clinical features and pathogenesis. Intern Med 1997;36:763
  3. Zaiac M, Renzulli A, Hilton CJ. Coronary artery spasm following coronary artery bypass grafting. Eur J Cardiothorac Surg 1990;4:109-11 https://doi.org/10.1016/1010-7940(90)90226-P
  4. Paterson HS, Jones MW, Baird DK, Hughes CF. Lethal postoperative coronary artery spasm. Ann Thorac Surg 1998;65:1571-3 https://doi.org/10.1016/S0003-4975(98)00098-8
  5. Okumura K, Yasue H, Horio Y, et al. Multivessel coronary spasm in patients with variant angina: a study with intracoronary injection of acetylcholine. Circulation 1988; 77:535 https://doi.org/10.1161/01.CIR.77.3.535
  6. Maseri A. Ischemic heart disease. London: Churchill Livingstone. 1995;20:559-88
  7. Waters DD, Bouvhard A, Theroux P. Spontaneous remission is a frequent outcome of variant angina. J Am Coll Cardiol 1983;2:195-9 https://doi.org/10.1016/S0735-1097(83)80153-3