Coronary artery angioplasty for treatment of peri-operative myocardial ischaemia.
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.
Obal
D
D
Department of Anaesthesiology, University Hospital Düsseldorf, Moorenstrasse 5, D-40225 Düsseldorf, Germany. obal@uni-duesseldorf.de
Kindgen-Milles
D
D
Schoebel
F
F
Schlack
W
W
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D003082:Colectomy; D017023:Coronary Angiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000628:therapy*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents