Korean J Anesthesiol.  2006 Dec;51(6):760-763. 10.4097/kjae.2006.51.6.760.

Coronary Stent Thrombosis during Noncardiac Surgery: A case report

• Kim HH
• Hwang JH

• KMID: 2243617
• DOI: http://doi.org/10.4097/kjae.2006.51.6.760

Abstract

We report a 62-year-old man who expired due to intraoperative stent thrombosis. He presented for radical cystectomy because of a bladder cancer. Before a surgery, coronary stent intervention was performed at left anterior descending (LAD) artery. And then he received dual antiplatelet medication for three weeks. Four weeks later, he had an operation for bladder cancer. During the surgery, arrhythmias were developed. After the surgery, the patient suffered from a ST segment elevation myocardial infarction, which was caused by total occlusion of the stent. Additional stent implantation was performed but immediately after the procedure, uncontrolled ventricular arrhythmias developed. It seems that patients with stents may be at heightened risk of stent occlusion during and after surgery. They should be required safe waiting period, titrated anticoagulatory therapy and exact monitoring of myocardial ischemia during the entire perioperative period.

Keyword

noncardiac surgery; percutaneous coronary intervention; stent thrombosis

MeSH Terms

Arrhythmias, Cardiac
Arteries
Cystectomy
Humans
Middle Aged
Myocardial Infarction
Myocardial Ischemia
Percutaneous Coronary Intervention
Perioperative Period
Stents*
Thrombosis*
Urinary Bladder Neoplasms