Intraoperative Coronary Artery Spasm Likely Triggered by Surgical Gallbladder Manipulation: A Case Report.
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
entrez:
10
9
2020
pubmed:
11
9
2020
medline:
29
7
2021
Statut:
ppublish
Résumé
Although the association between cholecystitis and acute coronary syndrome-like symptoms, including chest pain with electrocardiogram (ECG) changes, has been reported previously, it is unclear whether these symptoms can be provoked by direct stimulation to the gallbladder. We present the case of a 44-year-old man who developed coronary artery spasm (CAS) with ST-segment-elevation followed by nonsustained polymorphic ventricular tachycardia during laparoscopic cholecystectomy. The change in ECG occurred only when the gallbladder was manipulated, suggesting that direct stimulation to the gallbladder can cause CAS. Clinicians should be aware that careful ECG monitoring is necessary, especially while the gallbladder is manipulated.
Identifiants
pubmed: 32909719
doi: 10.1213/XAA.0000000000001268
pii: 02054229-202007000-00020
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e01268Références
O’Reilly MV, Krauthamer MJ. “Cope’s sign” and reflex bradycardia in two patients with cholecystitis. Br Med J. 1971; 2:146
Franzen D, Jung S, Fatio R, Brunckhorst CB. Complete atrioventricular block in a patient with acute cholecystitis: a case of cardio-biliary reflex? Eur J Emerg Med. 2009; 16:346–347
Lau YM, Hui WM, Lau CP. Asystole complicating acalculous cholecystitis, the “Cope’s sign” revisited. Int J Cardiol. 2015; 182:447–448
Sorić M, Miletić W, Žiga S, Grabovac V. Intermittent complete heart block in acute calculous cholecystitis. Signa Vitae. 2015; 10:53–54
Papakonstantinou PE, Asimakopoulou NI, Kanoupakis E, Maragkoudakis S, Panagiotakis S, Gikas A. Cope’s sign and complete heart block in a 78-year-old patient with biliary colic. Int Emerg Nurs. 2018; 37:3–5
JCS Joint Working Group. Guidelines for diagnosis and treatment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013). Circ J. 2014; 78:2779–2801
Ryan ET, Pak PH, DeSanctis RW. Myocardial infarction mimicked by acute cholecystitis. Ann Intern Med. 1992; 116:218–220
Durning SJ, Nasir JM, Sweet JM, Cation LJ. Chest pain and ST segment elevation attributable to cholecystitis: a case report and review of the literature. Mil Med. 2006; 171:1255–1258
Patel N, Ariyarathenam A, Davies W, Harris A. Acute cholecystits leading to ischemic ECG changes in a patient with no underlying cardiac disease. JSLS. 2011; 15:105–108
Sethi P, Murtaza G, Sharma A, Paul T. ST segment elevation with normal coronaries. Case Rep Med. 2016; 2016:3132654
Furuhashi M, Uno K, Satoh S, et al. Right bundle branch block and coved-type ST-segment elevation mimicked by acute cholecystitis. Circ J. 2003; 67:802–804
Vacca G, Battaglia A, Grossini E, Mary DA, Molinari C. Reflex coronary vasoconstriction caused by gallbladder distension in anesthetized pigs. Circulation. 1996; 94:2201–2209
Cullen ML, Reese HL. Myocardial circulatory changes measured by clearance of Na24; effect of common duct distension on myocardial circulation. J Appl Physiol. 1952; 5:281–284
Martin SE, Pilkington DM, Longhurst JC. Coronary vascular responses to chemical stimulation of abdominal visceral organs. Am J Physiol. 1989; 256:H735–H744