Coronary artery spasm after Cryo Maze III procedure.

Rajbanshi, Bijoy G; Rodrigues, Eduardo; Lynch, James J; Gulati, Rajiv; Sundt, Thoralf M · Ann Thorac Surg · 2011

case_report · Level V

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Abstract

The Cox Maze III procedure has been simplified with the availability of tissue ablation devices; however, complications related to their use are recognized. We report a case of 45-year-old woman who underwent mitral valve repair and concomitant Cryo-Maze procedure. She had reversible right coronary artery spasm develop after the procedure demonstrated by ST-segment elevation changes and coronary angiography, which was reversed with intracoronary nitroglycerin. The region of spasm suggested it as a consequence of proximity of the right coronary artery to the right atrial ablation lines.

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