Abstract
Intraoperative coronary artery spasm (CAS) is rare, and most cases have been reported during cardiac surgery (4, 7, 12). The following is a case report of a patient undergoing liver resection developing CAS, resulting in well-documented ST-segment elevation in lead II and V5 of the electrocardiogram (ECG) and severe hemodynamic instability. The coronary spasm was successfully treated with intravenous nitroglycerin. Postoperatively, a coronary angiogram documented CAS in the absence of significant coronary artery disease, confirming the clinical diagnosis of CAS.
MeSH terms
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Anesthesia, Intravenous* / adverse effects
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Anesthetics, Intravenous / administration & dosage*
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Coronary Angiography
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Coronary Vasospasm / diagnostic imaging
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Coronary Vasospasm / drug therapy
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Coronary Vasospasm / etiology*
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Electrocardiography
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Female
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Hepatectomy* / adverse effects
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Humans
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Hypotension / etiology
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Injections, Intravenous
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Intraoperative Care
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Intraoperative Complications* / drug therapy
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Middle Aged
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Nitroglycerin / administration & dosage
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Nitroglycerin / therapeutic use
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Tachycardia / etiology
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Vasodilator Agents / administration & dosage
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Vasodilator Agents / therapeutic use
Substances
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Anesthetics, Intravenous
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Vasodilator Agents
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Nitroglycerin