Fatal myocardial infarction after lung resection in a patient with prophylactic preoperative coronary stenting.
Fiche du document
2004
- doi: 10.1093/bja/aeh110
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.1093/bja/aeh110
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/15003980
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pissn/0007-0912
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_1671B9E125262
info:eu-repo/semantics/openAccess , Copying allowed only for non-profit organizations , https://serval.unil.ch/disclaimer
Sujets proches
LungCiter ce document
C. Marcucci et al., « Fatal myocardial infarction after lung resection in a patient with prophylactic preoperative coronary stenting. », Serveur académique Lausannois, ID : 10.1093/bja/aeh110
Métriques
Partage / Export
Résumé
In this report we present the case of a 77-yr-old man who underwent resection of the upper lobe of the left lung for a carcinoma, six weeks after percutaneous transluminal coronary angioplasty (PTCA) with stenting of the left anterior descending (LAD) and circumflex coronary arteries. Antiplatelet therapy with clopidogrel was interrupted two weeks before surgery to allow for epidural catheter placement and to minimize haemorrhage. The surgical procedure was uneventful. In the immediate postoperative period, however, the patient suffered severe myocardial ischaemia. Emergency coronary angiography showed complete thrombotic occlusion of the LAD stent. In spite of successful recanalization, reinfarction occurred and the patient died in cardiogenic shock. Prophylactic preoperative coronary stenting may put the patient at risk of stent thrombosis if surgery cannot be postponed for three months. In such cases, other strategies such as perioperative beta-blockade for preoperative cardiac management should be considered.