Key result
Multimodal therapy with vasodilators and MCS successfully reverses refractory post-CABG coronary vasospasm.
Why the study?
The role and management of coronary artery spasm as a cause of angina and a complication during CABG remain controversial and challenging.
Case Report (n=1)
Severe, life-threatening coronary vasospasm mimicking organic left main disease during cardiac surgery can be successfully managed through rapid implementation of appropriate vasodilators and mechanical circulatory support.
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May guide rescue strategies for refractory vasospasm during CABG; hypothesis-generating and requires prospective validation.
Rex N. MacAlpin (1973) conducted a case report in Severe coronary vasospasm during CABG (n=1). Intravenous vasodilators and mechanical circulatory support was evaluated. Multimodal therapy utilizing potent intravenous vasodilators and temporary mechanical circulatory support successfully rescued a patient experiencing severe, refractory coronary vasospasm and cardiogenic shock during CABG.
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