Coronary artery spasm during anesthesia for liver resection

Jan F.A. Hendrickx, Andre A.J. Van Zundert*, Andre M. De Wolf

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)39-43
Number of pages5
JournalActa anaesthesiologica Belgica
Volume49
Issue number1
StatePublished - May 27 1998

Keywords

  • Anesthesia
  • Complications
  • Intra-operative coronary artery spasm
  • Liver resection

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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