We report an unusual case of vasospasm of a grafted radial artery complicat
ed with ventricular fibrillation during the postoperative course of coronar
y artery bypass graft surgery. To our knowledge this is the first documente
d case of a radial artery graft spasm leading to a severe arrhythmia. The a
rrhythmia resolved spontaneously. Radial artery graft spasm was demonstrate
d by angiography and was successfully resolved by intravenous nitroglycerin
administration. (C) 2001 Elsevier Science B.V, All rights reserved.