Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Coronary artery spasm during mitral valve replacement.

H Shafei1, J G Bennett

  • 1National Heart Hospital, London, UK.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|January 1, 1990
PubMed
Summary

Coronary vasospasm can cause myocardial ischemia after mitral valve replacement, complicating cardiopulmonary bypass. Prompt treatment with vasodilating drugs is recommended, even without prior coronary artery disease.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Unexpected complications of postcoronary operation: the role of intracoronary ultrasound.

The Annals of thoracic surgery·1999
Same author

Streptococcal mural endocarditis and myocardial abscess occurring in a left ventricular aneurysm--case report and review.

Clinical cardiology·1998
Same author

The effect of angiotensin converting enzyme inhibition on myocardial function and blood pressure after coronary artery bypass surgery--a randomised study.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·1998
Same author

Lung volume reduction for congenital lobar emphysema.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·1997
Same author

Extracardiac total cavopulmonary connection without cardiopulmonary bypass.

The Annals of thoracic surgery·1997
Same author

Arterial and venous paragangliomas: the value of a preoperative pacemaker and a multidisciplinary approach.

British journal of neurosurgery·1997

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Vascular Medicine

Background:

  • Coronary artery spasm is a known cause of myocardial ischemia and necrosis following coronary revascularization procedures.
  • However, its role after non-coronary cardiac surgery, such as valve replacement, has not been well-established.

Observation:

  • A case of profound myocardial ischemia occurred after mitral valve replacement, significantly hindering the termination of cardiopulmonary bypass.
  • This ischemia was attributed to coronary vasospasm.

Findings:

  • Coronary vasospasm should be considered a potential cause of myocardial insufficiency after cardiopulmonary bypass, irrespective of pre-existing coronary artery disease.
  • The study highlights a specific instance where vasospasm complicated recovery from mitral valve surgery.

Related Experiment Videos

Implications:

  • This finding broadens the differential diagnosis for myocardial dysfunction post-cardiac surgery.
  • Effective management may involve the use of coronary vasodilating drugs to address vasospasm.
  • Further investigation into the mechanisms and prevalence of coronary vasospasm after valve replacement is warranted.