• Ann Thorac Cardiovasc Surg · Dec 2002

    Case Reports

    Treatment of refractory coronary vasospasm during cardiopulmonary bypass with compulsory coronary perfusion.

    • Toshiaki Ito, Koji Sakurai, Tomohiro Nakayama, Takenori Yamazaki, Yo Yano, and Toshio Abe.
    • Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.
    • Ann Thorac Cardiovasc Surg. 2002 Dec 1; 8 (6): 386-8.

    AbstractCoronary vasospasm is still a devastating complication during cardiac surgery. We report on a case of intractable coronary vasospasm in a 45-year-old male during coronary bypass surgery refractory to drugs and intra-aortic balloon pumping (IABP). Under cardiopulmonary bypass (CPB) support, the aorta was again cross-clamped and the aortic root was compulsorily perfused with pump blood using a small pump for infusion of cardioplegia. Vasodilators were administered through the perfusion line. Coronary vasospasm was dramatically resolved. He was then successfully weaned from CPB and recovered without further incidents.

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