Coronary artery spasm following coronary artery bypass grafting. Treatment with intracoronary ISDN followed by systemic intravenous nifedipine infusion

Eur J Cardiothorac Surg. 1990;4(2):109-11. doi: 10.1016/1010-7940(90)90226-p.

Abstract

Coronary artery spasm following coronary artery bypass grafting (CABG) has been described previously. The cause and underlying risk factors are mainly speculative and treatment therefore symptomatic. We present the successful management of this condition by administration of an intravenous Nifedipine infusion after intracoronary Isosorbide dinitrate (ISDN) had failed to relieve the spasm.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Coronary Vasospasm / diagnostic imaging
  • Coronary Vasospasm / drug therapy*
  • Coronary Vasospasm / etiology
  • Humans
  • Infusions, Intravenous
  • Injections, Intra-Arterial
  • Internal Mammary-Coronary Artery Anastomosis / adverse effects*
  • Isosorbide Dinitrate / administration & dosage
  • Isosorbide Dinitrate / therapeutic use*
  • Male
  • Middle Aged
  • Nifedipine / administration & dosage
  • Nifedipine / therapeutic use*
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / drug therapy*
  • Postoperative Complications / etiology
  • Risk Factors

Substances

  • Nifedipine
  • Isosorbide Dinitrate