Coronary artery angioplasty for treatment of peri‐operative myocardial ischaemia

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 myocard...

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Bibliographic Details
Published in:Anaesthesia 2005-02, Vol.60 (2), p.194-197
Main Authors: Obal, D., Kindgen‐Milles, D., Schoebel, F., Schlack, W.
Format: Article
Language:English
Subjects:
Aged
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Angioplasty
Angioplasty, Balloon, Coronary
Biological and medical sciences
Colectomy
Coronary Angiography
Electrocardiography
Heart attacks
Humans
Male
Medical sciences
Myocardial Ischemia - diagnostic imaging
Myocardial Ischemia - therapy
Older people
Postoperative Complications - diagnostic imaging
Postoperative Complications - therapy
Stents
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Summary: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.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.2004.04031.x