Author/Authors :
Alizadeh Ghavidel، Alireza نويسنده , , Basiri، Hosseinali نويسنده Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran , , Totonchi، Ziae نويسنده Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran , , Mirmesdagh، Yalda نويسنده Rajaei Cardiovascular, Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran. , , Jalili-Shahandashti، Farshad نويسنده Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran , , Gholizadeh، Behnam نويسنده Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran ,
Abstract :
BACKGROUND: Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial
coronary artery stenosis that causes vessel occlusion or near occlusion.
CASE REPORT: In this article, we present a clinical case of CAS in a 48-year-old woman
undergoing elective aortic valve replacement surgery for aortic stenosis. On the 3rd post-operative
day, the patient suffered from chest pain and dyspnea. Emergent coronary angiography
demonstrated a significant spasm of the ostium portion of the right coronary artery.
CONCLUSION: This case shows that delayed coronary spasm should be considered as a cause of
hemodynamic instability after valvular surgery.
