Coronary artery angioplasty for treatment of peri-operative myocardial ischaemia.
case_report · Level V
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Abstract
Increasing numbers of elderly patients with severe co-existing medical diseases undergo major surgery. With these patients there is also an accompanying risk of age-related cardiovascular complications such as life-threatening myocardial ischaemia. We present a patient who suffered a myocardial infarction after a hemicolectomy and suffered a cardiac arrest in the recovery room. The therapeutic options available (e.g. coronary artery bypass grafting, acute percutaneous coronary angioplasty and peri-operative thrombolysis) are discussed and the successful management of the case by coronary angioplasty and stent implantation is described.
Medical subject headings
- Angioplasty, Balloon, Coronary
- Myocardial Ischemia
- Postoperative Complications
- Stents