Major gynaecological surgery in patients with severe coronary artery disease--the combined approach.
The gynaecologist today is likely to encounter elderly patients with severe coronary heart disease requiring major gynaecological surgery. The successful outcome in 2 such patients with compromised coronary circulation and impaired left ventricular function emphasized the importance of combined care with the cardiologist and the anaesthetist. The insertion of a Swan-Ganz catheter for close perioperative monitoring is vital. The intra-and postoperative problems are discussed.
Department of Medicine, University of Malaya, Kuala Lumpur.
P
P
Kannan
V
V
Sivanesaratnam
R
R
Jeyamalar
A
A
Delilkan
G
G
Ong
D000368:Aged; D002407:Catheterization, Swan-Ganz; D003327:Coronary Disease / Q000150:complications* / Q000503:physiopathology; D003537:Cystadenoma / Q000150:complications / Q000601:surgery*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications / Q000601:surgery*