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  • Title: Treatment of refractory coronary vasospasm during cardiopulmonary bypass with compulsory coronary perfusion.
    Author: Ito T, Sakurai K, Nakayama T, Yamazaki T, Yano Y, Abe T.
    Journal: Ann Thorac Cardiovasc Surg; 2002 Dec; 8(6):386-8. PubMed ID: 12517301.
    Abstract:
    Coronary vasospasm is still a devastating complication during cardiac surgery. We report on a case of intractable coronary vasospasm in a 45-year-old male during coronary bypass surgery refractory to drugs and intra-aortic balloon pumping (IABP). Under cardiopulmonary bypass (CPB) support, the aorta was again cross-clamped and the aortic root was compulsorily perfused with pump blood using a small pump for infusion of cardioplegia. Vasodilators were administered through the perfusion line. Coronary vasospasm was dramatically resolved. He was then successfully weaned from CPB and recovered without further incidents.
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