Occlusive Coronary-Artery Spasm as a Cause of Acute Myocardial Infarction after Coronary-Artery Bypass Grafting

Tim A. Fischell, Thomas V. Mcdonald, Marc T. Grattan, D. Craig Miller, Michael L. Stadius

Research output: Contribution to journalLetter

12 Scopus citations


To the Editor: Acute myocardial infarction occurs in approximately 2 to 6 percent of patients in the immediate postoperative period after coronary-artery bypass grafting.1,2 The exact cause or causes of perioperative myocardial infarction have not been fully determined. We present angiographic documentation of occlusive spasm of a native coronary artery as a cause of acute myocardial infarction after coronary bypass grafting. A 59-year-old man with a 4-month history of exertional chest pain despite medical therapy was admitted to our institution for coronary-artery bypass grafting. Angiography performed three months before admission demonstrated two-vessel coronary artery disease with total occlusion of the.

Original languageEnglish (US)
Pages (from-to)400-401
Number of pages2
JournalNew England Journal of Medicine
Issue number6
Publication statusPublished - Feb 9 1989


ASJC Scopus subject areas

  • Medicine(all)

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