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논문 기본 정보

자료유형
학술저널
저자정보
Yoon, Jin Won (Division of Cardiology, Department of Internal Medicine, Sahmyook Medical Center) Lee, Young Soo (Division of Cardiology, Department of Internal Medicine, Sahmyook Medical Center) Kim, Dong Keun (Division of Cardiology, Department of Internal Medicine, Sahmyook Medical Center) Choi, Young Hoon (Division of Cardiology, Department of Internal Medicine, Sahmyook Medical Center) Kim, Dong-Ju (Division of Cardiology, Department of Internal Medicine, Sahmyook Medical Center) Lee, Jae Jin (Department of Thoracic and Cardiovascular Surgery, Sahmyook Medical Center) Ahn, Hyo Seung (Division of Cardiology, Department of Internal Medicine, Sahmyook Medical Center) Cho, Wook Hyun (Division of Cardiology, Department of Internal Medicine, Sahmyook Medical Center)
저널정보
영남대학교 의과대학 영남의대학술지 영남의대학술지 제31권 제2호
발행연도
2014.1
수록면
122 - 126 (5page)

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Coronary vasospasm is one of the fatal complications that may occur in patients undergoing open heart surgery. To date, however, there are not many cases in this series and no definite pathophysiology has been documented. We experienced a case of coronary artery vasospasm after atrial septal defect (ASD) surgery and then successfully treated it with both transbrachial intraaortic balloon pump and percutaneous cardiopulmonary support. Only several hours after ASD surgery, the patient exhibited the cardiovascular collapse, the ST-segment elevation, followed by ventricular fibrillation and normal coronary angiography findings. It is important to make a differential diagnosis of coronary artery vasospasm in patients presenting with ST-segment elevation who had no notable coronary artery diseases. This case indicates that clinicians should be aware of the possibility that the coronary artery vasospasm may also occur in patients undergoing ASD surgery.

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