Ann Thorac Surg 1993;56:170-173
© 1993 The Society of Thoracic Surgeons

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Articles
Coronary artery spasm after aortic valve replacement
Koki Tsuchida, MD*, Takahiro Takemura, MD, Mikihiro Kijima, MD, Shuichi Matsumoto, MD
Divisions of Cardiovascular Surgery and Cardiology, Hoshi General Hospital, Koriyama, Japan

Accepted for publication September 21, 1992.

* Address reprint requests to Dr Tsuchida, Hoshi General Hospital, 2-1-16 Ohmachi, Koriyama 963, Japan.

We report a patient who received aortic valve replacement and experienced early postoperative coronary artery spasm, which led to inferolateral myocardial infarction. The spasm was unresponsive to conventional medication. However, after systemic circulatory and respiratory control, a good prognosis was obtained.