Recurrent ventricular fibrillation due to coronary artery spasm immediately after ascending aorta replacement.

Coronary artery spasm (CAS) is a dangerous complication during cardiac surgery, causing arduous weaning of extracorporeal circulation (ECC) and myocardial tissue loss with consequent left and right ventricular dysfunctions. We describe the case of a 67-year-old man with hypertension and smoking habit, with ECG evidence of lateral myocardial ischemia without symptoms. On this basis, he was investigated with scintigraphy, which confirmed an anterior-lateral area of reversible ischemia and, subsequently, with angiography, which revealed just mild lesion (50%) of diagonal ramus associated with ascending aorta aneurysm: no sign of CAS was detected.

Revelation of quadricuspid aortic valve at aortography in elderly patient with severe aortic regurgitation.

Aortic regurgitation is associated with numerous eponymous signs. It has been reported severe aortic regurgitation also due to a quadricuspid aortic valve, a rare congenital anomaly. We present a case of revelation of quadricuspid aortic valve at left ventriculography with aortography in a 71-year-old Italian woman with severe aortic regurgitation.