Intra- and postoperative myocardial ischemia without significant coronary artery stenosis.

Abstract:

:A 73-year-old man without a history of coronary artery disease had two episodes of significant ST-segment elevation indicative of inferior myocardial ischemia during the resection of an abdominal aortic aneurysm. During the further course, sudden ST-segment elevations occurred and resolved spontaneously without preceding hemodynamic instability. The patient sustained two episodes of cardiac arrest due to ventricular fibrillation and intermittent third-degree atrioventricular block with ventricular asystole. On cardiac catheterization, coronary arteries had a right dominant pattern. The right coronary artery was entirely patent on multiple injections. Thus, right coronary artery spasm is the only possible explanation for these observations.

authors

Kindgen-Milles D,Vester EG,Müller EE

doi

10.1111/j.1399-6576.1998.tb05145.x

subject

Has Abstract

pub_date

1998-04-01 00:00:00

pages

478-80

issue

4

eissn

0001-5172

issn

1399-6576

journal_volume

42

pub_type

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