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Of 2,600 coronary operations performed from August 1983, to December 1988, two ischemic reactions of the inferior wall immediately after operation were observed. In both patients the right coronary artery was either dissected or revascularized intraoperatively. Under the diagnosis of postoperative spasm both patients had reangiography three hours after surgery. Right coronary artery spasm was demonstrated in both patients. After intracoronary injection of calcium channelblockers the spasm resolved completely. Patient 1 demonstrated a small inferior infarction during control angiography, patient 2 remained free of a myocardial infarction. The possible causes of coronary spasm during or after surgery are discussed. The diagnosis and an approach to therapy are outlined.
K H Leitz, and
N Tsilimingas, and
H Oster, and
H E Scherer, and
E Hörmann, and
H J Engel
August 1982,
The Annals of thoracic surgery,
K H Leitz, and
N Tsilimingas, and
H Oster, and
H E Scherer, and
E Hörmann, and
H J Engel
May 1981,
The New England journal of medicine,
K H Leitz, and
N Tsilimingas, and
H Oster, and
H E Scherer, and
E Hörmann, and
H J Engel
July 1992,
Journal of anesthesia,
K H Leitz, and
N Tsilimingas, and
H Oster, and
H E Scherer, and
E Hörmann, and
H J Engel
January 1994,
Archivos del Instituto de Cardiologia de Mexico,
K H Leitz, and
N Tsilimingas, and
H Oster, and
H E Scherer, and
E Hörmann, and
H J Engel
September 1981,
The New England journal of medicine,
K H Leitz, and
N Tsilimingas, and
H Oster, and
H E Scherer, and
E Hörmann, and
H J Engel
May 1985,
Archives of internal medicine,
K H Leitz, and
N Tsilimingas, and
H Oster, and
H E Scherer, and
E Hörmann, and
H J Engel
January 1983,
Cor et vasa,
K H Leitz, and
N Tsilimingas, and
H Oster, and
H E Scherer, and
E Hörmann, and
H J Engel
November 1983,
Presse medicale (Paris, France : 1983),
K H Leitz, and
N Tsilimingas, and
H Oster, and
H E Scherer, and
E Hörmann, and
H J Engel
April 1982,
The New England journal of medicine,
K H Leitz, and
N Tsilimingas, and
H Oster, and
H E Scherer, and
E Hörmann, and
H J Engel
January 1983,
Giornale italiano di cardiologia,
