Abstract
A 68-yr-old man with a 9-yr history of hypertension presented for hemiglossectomy, segmental resection of the mandible, and the radial forearm free flap grafting. Intraoperatively, facial artery spasm was observed during microvascular suturing of the radial artery to the facial artery. Simultaneously, systolic blood pressure decreased from 100 to 80 torr and the ST segment elevated to 15 mm from the base line. The possible mechanisms responsible for vasospasm in coronary as well as in peripheral arteries under sevoflurane anesthesia are discussed.
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Selected References
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- Addonizio V. P., Harken A. H., Goldberg S. Postoperative coronary vasospasm. Cardiovasc Clin. 1983;14(1):111–121. [PubMed] [Google Scholar]
- Briard C., Coriat P., Commin P., Chollet A., Menasche P., Echter E. Coronary artery spasm during non-cardiac surgical procedure. Anaesthesia. 1983 May;38(5):467–470. doi: 10.1111/j.1365-2044.1983.tb14032.x. [DOI] [PubMed] [Google Scholar]
- Buffington C. W., Ivey T. D. Coronary artery spasm during general anesthesia. Anesthesiology. 1981 Oct;55(4):466–469. doi: 10.1097/00000542-198110000-00026. [DOI] [PubMed] [Google Scholar]
- MacAlpin R. N., Kattus A. A., Alvaro A. B. Angina pectoris at rest with preservation of exercise capacity: Prinzmetal's variant angina. Circulation. 1973 May;47(5):946–958. doi: 10.1161/01.cir.47.5.946. [DOI] [PubMed] [Google Scholar]
- Modig J., Kolstad K., Wigren A. Systemic reactions to tourniquet ischaemia. Acta Anaesthesiol Scand. 1978;22(6):609–614. doi: 10.1111/j.1399-6576.1978.tb01344.x. [DOI] [PubMed] [Google Scholar]
- Panza J. A., García C. E., Kilcoyne C. M., Quyyumi A. A., Cannon R. O., 3rd Impaired endothelium-dependent vasodilation in patients with essential hypertension. Evidence that nitric oxide abnormality is not localized to a single signal transduction pathway. Circulation. 1995 Mar 15;91(6):1732–1738. doi: 10.1161/01.cir.91.6.1732. [DOI] [PubMed] [Google Scholar]
- Panza J. A., Quyyumi A. A., Brush J. E., Jr, Epstein S. E. Abnormal endothelium-dependent vascular relaxation in patients with essential hypertension. N Engl J Med. 1990 Jul 5;323(1):22–27. doi: 10.1056/NEJM199007053230105. [DOI] [PubMed] [Google Scholar]
- Ross R., Glomset J. A. The pathogenesis of atherosclerosis (first of two parts). N Engl J Med. 1976 Aug 12;295(7):369–377. doi: 10.1056/NEJM197608122950707. [DOI] [PubMed] [Google Scholar]
- Yasue H. Pathophysiology and treatment of coronary arterial spasm. Chest. 1980 Jul;78(1 Suppl):216–223. doi: 10.1378/chest.78.1_supplement.216. [DOI] [PubMed] [Google Scholar]
