ARYA Atherosclerosis Journal

A rare presentation of late right coronary artery spasm following aortic valve replacement

Document Type : Case Report

Authors

Alireza Alizadeh-Ghavidel 1
Hosseinali Basiri 2
Ziae Totonchi 3
Yalda Mirmesdagh 1
Farshad Jalili-Shahandashti 3
Behnam Gholizadeh 3

1 Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

2 Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

3 Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

Abstract
BACKGROUND: Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion. CASE REPORT: In this article, we present a clinical case of CAS in a 48-year-old woman undergoing elective aortic valve replacement surgery for aortic stenosis. On the 3rd post-operative day, the patient suffered from chest pain and dyspnea. Emergent coronary angiography demonstrated a significant spasm of the ostium portion of the right coronary artery. CONCLUSION: This case shows that delayed coronary spasm should be considered as a cause of hemodynamic instability after valvular surgery.   

Keywords

Aortic Valve Replacement
Coronary Artery Vasospasm
Coronary Artery Disease
Postoperative Complication
ARYA Atherosclerosis Journal
Volume 11, Issue 1 - Serial Number 1
January and February 2015
Pages 50-53

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