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Recurrent Coronary Vasospasm After Cardiac Surgery.
Kenza Rahmouni El Idrissi1, Vincent Chauvette2, Yoan Lamarche2
1Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Division of Cardiac Surgery, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada.
The Annals of Thoracic Surgery
|June 9, 2020
Summary
Postoperative coronary vasospasm is a rare complication after heart surgery. This case highlights its recurrence in a patient with osteogenesis imperfecta undergoing aortic valve procedures.
Area of Science:
- Cardiology
- Cardiac Surgery
- Vascular Biology
Background:
- Postoperative coronary vasospasm is a rare complication following cardiac surgery.
- It can lead to serious outcomes, including myocardial infarction and death.
Observation:
- A young patient with osteogenesis imperfecta experienced coronary vasospasm after two aortic valve replacement surgeries.
- The vasospasm occurred in the perioperative period following each procedure.
Findings:
- This case demonstrates the potential for recurrent coronary vasospasm in susceptible individuals.
- The presentation and clinical course of perioperative coronary vasospasm can vary.
Implications:
- Highlights the importance of recognizing and managing coronary vasospasm in patients with connective tissue disorders.
- Suggests a need for further research into the underlying mechanisms and risk factors for this complication.
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