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Surgical revascularization for severe spasm in the left main coronary artery

Kayo Sugiyama1, Masanobu Fujimoto2, Hirotaka Watanuki1

  • 1Department of Cardiac Surgery Aichi Medical University Hospital Nagakute Aichi Japan.

Clinical Case Reports
|January 9, 2023
PubMed

Insights

Severe coronary artery spasm in a 46-year-old woman led to circulatory collapse despite medical therapy. Coronary artery bypass grafting proved effective in treating this critical condition, highlighting surgical intervention for refractory cases.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Recurrent coronary artery spasm can lead to severe stenosis and endothelial damage.
  • Medical management is the initial approach for managing coronary artery spasm.

Observation:

  • A 46-year-old woman experienced severe stenosis with endothelial damage due to recurrent left main coronary artery spasm.
  • Despite medical therapy, the patient developed severe coronary artery spasm, leading to circulatory collapse.

Findings:

  • Coronary artery bypass grafting was successfully employed to treat the patient.
  • Surgical intervention resolved the critical condition caused by refractory coronary artery spasm.

Implications:

  • Coronary artery bypass grafting can be a life-saving option for severe, medically refractory coronary artery spasm.
  • This case underscores the importance of considering surgical revascularization in patients with critical coronary artery disease secondary to spasm.

Keywords:
carotid artery hypoplasiacoronary artery spasmendothelial damage

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