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A rare case of late onset saphenous vein graft spasm.

Authors
  • Guragai, Nirmal1
  • Rampal, Upamanyu2
  • Vasudev, Rahul3
  • Patel, Hiten2
  • Joshi, Meherwan B1
  • Shamoon, Fayez2
  • 1 Department of Internal Medicine, Trinitas Regional Medical Center, Seton Hall University, Elizabeth, NJ, USA.
  • 2 Department of Cardiology, New York Medical College at St Joseph's Regional Medical Center, Paterson, NJ, USA.
  • 3 Department of Internal Medicine, New York Medical College at St Joseph's Regional Medical Center, Paterson, NJ, USA.
Type
Published Article
Journal
Journal of Community Hospital Internal Medicine Perspectives
Publisher
Informa UK (Taylor & Francis)
Publication Date
Jan 01, 2017
Volume
7
Issue
5
Pages
332–335
Identifiers
DOI: 10.1080/20009666.2017.1379851
PMID: 29147480
Source
Medline
Keywords
License
Unknown

Abstract

Spasm following coronary artery bypass graft surgery has been well established in arterial grafts, especially in grafts utilizing the internal mammary. Venous graft spasms are uncommon and are only observed in vein grafts during or soon after the coronary artery bypass surgery. It is exceedingly rare to see spasm of venous graft beyond one year of surgery. We report a 72-year-old female who had coronary artery bypass graft three years ago and presented with new onset chest pain for one month. The coronary angiogram revealed severe spasm of the proximal aspect of a patent saphenous venous graft which was relieved by intracoronary nitroglycerine. Patient was successfully managed using combination of anti-spasmodic medications (nitrates and calcium channel blockers) leading to long-term resolution of her anginal symptoms.

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