Fatal myocardial infarction after lung resection in a patient with prophylactic preoperative coronary stenting.

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Serval ID
serval:BIB_1671B9E12526
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Fatal myocardial infarction after lung resection in a patient with prophylactic preoperative coronary stenting.
Journal
British journal of anaesthesia
Author(s)
Marcucci C., Chassot P.G., Gardaz J.P., Magnusson L., Ris H.B., Delabays A., Spahn D.R.
ISSN
0007-0912
Publication state
Published
Issued date
2004
Peer-reviewed
Oui
Volume
92
Number
5
Pages
743-7
Language
english
Notes
Publication types: Case Reports ; Journal Article - Publication Status: ppublish
Abstract
In this report we present the case of a 77-yr-old man who underwent resection of the upper lobe of the left lung for a carcinoma, six weeks after percutaneous transluminal coronary angioplasty (PTCA) with stenting of the left anterior descending (LAD) and circumflex coronary arteries. Antiplatelet therapy with clopidogrel was interrupted two weeks before surgery to allow for epidural catheter placement and to minimize haemorrhage. The surgical procedure was uneventful. In the immediate postoperative period, however, the patient suffered severe myocardial ischaemia. Emergency coronary angiography showed complete thrombotic occlusion of the LAD stent. In spite of successful recanalization, reinfarction occurred and the patient died in cardiogenic shock. Prophylactic preoperative coronary stenting may put the patient at risk of stent thrombosis if surgery cannot be postponed for three months. In such cases, other strategies such as perioperative beta-blockade for preoperative cardiac management should be considered.
Keywords
Aged, Angioplasty, Transluminal, Percutaneous Coronary, Coronary Thrombosis, Fatal Outcome, Humans, Lung Neoplasms, Male, Myocardial Infarction, Postoperative Complications, Stents
Pubmed
Web of science
Open Access
Yes
Create date
29/01/2008 13:00
Last modification date
01/10/2019 6:16
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