Postoperative myocardial infarction in an orthognatic jaw surgery.

• 发表时间: Nov 2017
• 来源期刊: Rev Esp Anestesiol Reanim
• DOI: 10.1016/j.redar.2017.02.012
• PMID: 28625607
• 文章类型: Case Reports
• 作者列表: Vieira Marques F,Montenegro Sá F,Lapa T,Simões I

关键词: Anestesia general; Complicaciones postoperatorias; General anesthesia; Infarto del miocardio; Myocardial infarction; Periodo perioperatorio; Perioperative period; Postoperative complications

Mesh: Acute Coronary Syndrome / diagnosis drug therapy etiology therapy; Adult; Anesthesia, General; Angioplasty; Anticoagulants / therapeutic use; Atorvastatin / therapeutic use; Cardiovascular Agents / therapeutic use; Combined Modality Therapy; Disease Susceptibility; Drug-Eluting Stents; Dyslipidemias / complications; Early Diagnosis; Elective Surgical Procedures; Humans; Male; Maxilla / surgery; Orthognathic Surgery; Postoperative Complications / diagnosis etiology therapy; Smoking / adverse effects; Surgery, Plastic

Abstract

Cardiovascular complications, in particular perioperative myocardial infarctions, are central contributors to morbidity and mortality after non-cardiac surgery. We present a case of a 41-year-old male, smoker and dyslipidemic, who underwent bimaxillary orthognathic jaw surgery with the development of an acute coronary syndrome in the immediate postoperative period. We managed to early diagnose the myocardial infarction and promptly performed a percutaneous transluminal coronary angioplasty, resulting in a positive outcome.