{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:46:22Z","timestamp":1784249182979,"version":"3.55.0"},"reference-count":10,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,17]]},"published-print":{"date-parts":[[2019,7,9]]},"abstract":"<jats:p>Native right coronary artery (RCA) spasm is a less frequent early complication of perioperative coronary artery bypass grafting. Late presentation at 6 days postoperation is scarce and its relationship with an anomalous coronary artery is unknown. The optimal management and prevention remains controversial. In the case presented, the patient\u2019s anomalous left coronary artery originating from the right coronary cusp underwent ligation at its proximal segment at the time of bypass grafting. This ligation was preformed to prevent competitive flow. Six days postoperation, a refractory spasm of dominant native RCA occurred. The spasm resulted in right ventricular failure. Administration of intracoronary verapamil had a longer sustained vasodilatory effect and resolution of coronary spasm when compared with intracoronary nitroglycerine injection. An intra-aortic balloon pump, inotropic agents and low-dose nitroglycerine were used to maintain adequate haemodynamic support. Right ventricular systolic function recovery was noted within 2\u2009days postintervention.<\/jats:p>","DOI":"10.1136\/bcr-2019-229748","type":"journal-article","created":{"date-parts":[[2019,7,11]],"date-time":"2019-07-11T05:49:07Z","timestamp":1562824147000},"page":"e229748","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Late perioperative native coronary artery spasm following bypass grafting in a patient with anomalous aortic origin of the coronary artery"],"prefix":"10.1136","volume":"12","author":[{"given":"Hajir","family":"Zohourian","sequence":"first","affiliation":[{"name":"Broward Health Medical Center, Nova Southeastern University, Fort Lauderdale, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit K","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Broward Health Medical Center, Nova Southeastern University, Fort Lauderdale, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Violeta","family":"Atanasoski McCormack","sequence":"additional","affiliation":[{"name":"Heart Center of Excellence, Broward Health Medical Center, Fort Lauderdale, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,7,10]]},"reference":[{"key":"2025082800355236000_12.7.e229748.1","first-page":"bcr2014204408","article-title":"Coronary spasm as the cause of myocardial ischaemia in a patient with anomalous origin of the left anterior descending artery from the proximal right coronary artery","volume":"2014","author":"Nakazato","year":"2014","journal-title":"Case Reports"},{"key":"2025082800355236000_12.7.e229748.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.01.031"},{"key":"2025082800355236000_12.7.e229748.3","doi-asserted-by":"publisher","DOI":"10.1177\/2150135113516984"},{"key":"2025082800355236000_12.7.e229748.4","first-page":"1","article-title":"Malignant course of anomalous left coronary artery causing sudden cardiac arrest: a case report and review of the literature","volume":"2015","author":"Anantha Narayanan","year":"2015","journal-title":"Case Rep Cardiol"},{"key":"2025082800355236000_12.7.e229748.5","doi-asserted-by":"crossref","first-page":"641","DOI":"10.3346\/jkms.2010.25.4.641","article-title":"Native coronary artery and grafted artery spasm just after coronary artery bypass grafting: a case report","volume":"25","author":"Baek","year":"2010","journal-title":"J Korean Med Sci"},{"key":"2025082800355236000_12.7.e229748.6","first-page":"e171","article-title":"Early graft failure complicating coronary artery bypass surgery for anomalous left coronary artery from the right coronary sinus","volume":"7","author":"Robaei","year":"2013","journal-title":"J Cardiol Cases"},{"key":"2025082800355236000_12.7.e229748.7","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/j.jtcvs.2017.10.027","article-title":"\u201cCui periculum\u201d\u2014Who is at risk?","volume":"155","author":"Mainwaring","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025082800355236000_12.7.e229748.8","first-page":"361","article-title":"Coronary artery spasm following on-pump coronary artery bypass grafting with 20 months follow-up","volume":"13","author":"Kowal\u00f3wka","year":"2016","journal-title":"Kardiochir Torakochirurgia Pol"},{"key":"2025082800355236000_12.7.e229748.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)65869-9"},{"key":"2025082800355236000_12.7.e229748.10","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.7150\/ijms.9623","article-title":"Coronary artery spasm: review and update","volume":"11","author":"Hung","year":"2014","journal-title":"Int J Med Sci"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229748","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:36:00Z","timestamp":1756366560000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229748"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,9]]},"references-count":10,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,7,10]]},"published-print":{"date-parts":[[2019,7,9]]}},"alternative-id":["10.1136\/bcr-2019-229748"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229748","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,9]]}}}