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

Alireza Alizadeh-Ghavidel; Hosseinali Basiri; Ziae Totonchi; Yalda Mirmesdagh; Farshad Jalili-Shahandashti; Behnam Gholizadeh

Vol 11, No 1 (2015):50-53

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

Alireza Alizadeh-Ghavidel, Hosseinali Basiri, Ziae Totonchi, Yalda Mirmesdagh, Farshad Jalili-Shahandashti, Behnam Gholizadeh

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 3^rd 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

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