[Acute myocardial infarction in the postoperative period in an elderly man with low coronary risk factor before the operation].
An 86-year-old man complicated by severe asthma developed myocardial infarction after the operation of abdominal aortic aneurysm. Emergency coronary angiography (CAG) revealed 99% stenosis of main trunks of left coronary artery (LMT). Because the patient had been without major coronary risk factors, it was difficult to predict coronary lesions preoperatively. Elderly patients have frequently latent complications not detected by usual consultation. Therefore, in elderly patients, we have to evaluate each individual risk factor more rigidly, and perform more thorough preoperative tests, including CAG.
Meno
A
A
Department of Anesthesiology, Pain Relief Center, University of Tokyo Hospital, Tokyo 113-8655.
Ueno
T
T
Chang
K
K
Arita
H
H
Hanaoka
K
K
D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001249:Asthma / Q000150:complications; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D012307:Risk Factors