Mutlak M, Nikolsky E. Severe coronary artery spasm induced by epidural injection of bupivacaine hydrochloride: a case report.
ACUTE CARDIAC CARE 2011;
13:155-158. [PMID:
21517666 DOI:
10.3109/17482941.2011.567286]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
This report describes a case of variant angina induced by epidural infusion of bupivacaine hydrochloride for the treatment of intractable low back pain in a 66-year-old male patient with lumbar discopathy. Severe reversible coronary artery spasm of right coronary artery was demonstrated by coronary angiography. Withdrawal of epidural anesthesia and treatment with nitrates and calcium channel antagonists resulted in cessation of variant angina.
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