Venospastic phenomena of saphenous vein bypass grafts: possible causes for unexplained postoperative recurrence of angina or early or late occlusion of vein bypass grafts.

AUTOR(ES)

Maleki, M

RESUMO

Angina recurred in a 54 year old white man after multivessel coronary artery bypass surgery. Fourteen months after operation the frequency and intensity of his mixed angina increased and cardiac stress testing was positive. Repeat cardiac catheterisation showed that all the bypass grafts were widely patent; however, spasms of a vein graft to right coronary artery system were clearly seen. Treatment with calcium blocking agents and long acting nitrates abolished the symptoms during 16 months of clinical follow up.

Documentos Relacionados

• Fate of coronary collateral circulation after aorto-coronary saphenous vein bypass grafts.
• Early Stage of Atherosclerosis in Aortocoronary Saphenous Vein Grafts: Intravascular Ultrasound Study
• Self expanding stents for the management of aorto-ostial stenoses in saphenous vein bypass grafts.
• Reoperation for Stenotic Saphenous Vein Bypass Grafts Without Cardiopulmonary Bypass or Shunt
• Abnormal Venous Valves: A Cause of Early Obstruction of Saphenous Vein Bypass Grafts