Postoperative internal thoracic artery spasm after coronary artery bypass grafting.

Harskamp, Ralf E; McNeil, Jeffrey D; van Ginkel, Margreet W; Bastos, Renata B; Baisden, Clinton E; Calhoon, John H · Ann Thorac Surg · 2008

case_report · Level V

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Abstract

Spasm of the left internal thoracic artery in the perioperative period represents a life-threatening complication after coronary artery bypass grafting. We present a case in which graft spasm was treated with the administration of intra-arterial nitroglycerin and verapamil. Although vasospasm is more often seen in radial artery grafts, this case demonstrates that left internal thoracic artery grafts are also prone to spasm.

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