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Coronary artery angioplasty for treatment of peri‐operative myocardial ischaemia
Author(s) -
Obal D.,
KindgenMilles D.,
Schoebel F.,
Schlack W.
Publication year - 2005
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2004.04031.x
Subject(s) - medicine , angioplasty , myocardial infarction , thrombolysis , cardiology , artery , bypass grafting , surgery
Summary 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.