Hartmuth B Bittner, MD The Annals of Thoracic Surgery

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Presentation transcript:

Coronary artery spasm and ventricular fibrillation after off-pump coronary surgery Hartmuth B Bittner, MD The Annals of Thoracic Surgery Volume 73, Issue 1, Pages 297-300 (January 2002) DOI: 10.1016/S0003-4975(01)02860-0

Fig 1 The right anterior oblique (RAO) projection and left coronary artery injection revealed severe three-vessel coronary artery disease. The right coronary artery was chronically occluded and filled retrogradely from the left anterior descending (LAD) into a large posterior descending artery (PDA). The size 8 French angiography catheter (Cath) allows esti mating of the diameter of the coronary arteries. (D = diagonal branch; OM = obtuse marginal branch.) The Annals of Thoracic Surgery 2002 73, 297-300DOI: (10.1016/S0003-4975(01)02860-0)

Fig 2 The LAO projection and left coronary artery injection (LAD = left anterior descending artery; OM = obtuse marginal branch; PDA = posterior descending artery.) The Annals of Thoracic Surgery 2002 73, 297-300DOI: (10.1016/S0003-4975(01)02860-0)

Fig 3 Severe native coronary artery spasm of the posterior descending artery. Saphenous vein graft (SVG) bypass to posterior descending artery. (Cath = catheter.) The Annals of Thoracic Surgery 2002 73, 297-300DOI: (10.1016/S0003-4975(01)02860-0)

Fig 4 Severe native coronary artery spasm of the obtuse marginal branch. Saphenous vein graft (SVG) bypass to obtuse marginal branch. The Annals of Thoracic Surgery 2002 73, 297-300DOI: (10.1016/S0003-4975(01)02860-0)

Fig 5 Severe native coronary artery and conduit spasm of the left anterior descending artery (LAD). Left internal thoracic artery (LITA) bypass to LAD. The Annals of Thoracic Surgery 2002 73, 297-300DOI: (10.1016/S0003-4975(01)02860-0)