Journal List > J Korean Soc Transplant > v.30(3) > 1034491

Yang, Kim, Lee, and Kim: Recurrent Cardiac Arrest during a Nontransplant Operation Due to Variant Angina in a Liver Transplantation Patient

Abstract

We report a case of recurrent cardiac arrest during a nontransplant operation in a liver transplant recipient with prior cardiac arrest during liver transplantation. A 45-year-old man who experienced cardiac arrest for 17 minutes during the preanhepatic phase of liver transplantation—which was performed 34 months ago—did not survive the recurrent cardiac arrest during portal venoplasty. Variant angina was not suspected for the first cardiac arrest; however, myocardial infarction by coronary vasospasm was revealed to be the cause of the second cardiac arrest.

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Fig. 1.
Postoperative right coronary angiography in the left anterior oblique view. (A) Baseline right coronary angiography. (B) Right coronary angiography after intracoronary ergonovine injection. The arrows indicate diffuse coronary spasm of the right coronary artery induced by ergonovine. (C) Coronary spasm of the right coronary artery was reversed by intracoronary nitroglycerine injection.
jkstn-30-143f1.tif
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