Copyright
©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jul 26, 2014; 6(7): 685-688
Published online Jul 26, 2014. doi: 10.4330/wjc.v6.i7.685
Published online Jul 26, 2014. doi: 10.4330/wjc.v6.i7.685
Worsening of coronary spasm during the perioperative period: A case report
Hiroki Teragawa, Kenji Nishioka, Yuichi Fujii, Naomi Idei, Takaki Hata, Shuji Kurushima, Tomoki Shokawa, Yasuki Kihara, Department of Cardiovascular Medicine, Hiroshima University Hospital, Hiroshima 734-8551, Japan
Author contributions: Teragawa H wrote the manuscript; Nishioka K, Fujii Y, Idei N, Hata T, Kurushima S and Shokawa T collected data; Kihara Y evaluated the study and revised the manuscript.
Correspondence to: Hiroki Teragawa, MD, PhD, Department of Cardiovascular Medicine, Hiroshima General Hospital of the West Japan Railway Company, 3-1-36 Futabanosato, Higashi-ku, Hiroshima 734-8551, Japan. hiroteraga71@gmail.com
Telephone: +81-82-2621171 Fax: +81-82-2621499
Received: January 4, 2014
Revised: February 20, 2014
Accepted: May 16, 2014
Published online: July 26, 2014
Processing time: 228 Days and 4 Hours
Revised: February 20, 2014
Accepted: May 16, 2014
Published online: July 26, 2014
Processing time: 228 Days and 4 Hours
Core Tip
Core tip: Coronary spasm during the perioperative period often emerges severely as either cardiogenic shock or ventricular fibrillation. Although there are several surgery-related factors that influence the activity of coronary spasm, discontinuing vasodilators during the perioperative period is an important problem in patients with vasospastic angina (VSA). We encountered an outpatient with VSA whose condition had been stabilized using two types of vasodilators but subsequently worsened, leading to cardiogenic shock during the perioperative period. In light of this event, physicians should carefully evaluate their patients regarding the possibility of a coronary spasm during the perioperative period.