Fatal Vasospasm of the Coronary Arteries in a Patient Undergoing Distal Bypass Surgery and Endovascular Therapy for Threatened Lower Limbs Due to Acute Exacerbation of Peripheral Arterial Disease
Year: 2018
Type: article
Study design: Case Report
Abstract: A 79-year-old man with a heavy smoking history presented with threatened lower limbs due to acute exacerbation of peripheral artery disease (PAD). He underwent emergent distal bypass surgery for the right leg and external iliac stenting for the left leg. Fatal coronary artery spasm (CAS) with ST segment changes on electrocardiography was observed 28 h after the procedures, resulting in cardiac arrest. Coronary angiography showed widespread CAS with improvement after intra-arterial nitroglycerin infusion. We should keep in mind that CAS may occur more frequently than expected in PAD patients, especially those who have not stopped smoking prior to revascularization.
Source: Annals of Vascular Diseases
Authors: Daisuke Takeyoshi, Shinsuke Kikuchi, Keisuke Miyake, Takamitsu Tatsukawa, Daita Kobayashi, Daiki Uchida, Yuya Kitani, Hiroyuki Kamiya, Nobuyoshi Azuma
Institution: Asahikawa Medical University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $226
OpenAlex ID: W2891686587