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Indian J Anaesth. 2010 Jul;54(4):342-4. doi: 10.4103/0019-5049.68388.

Postoperative myocardial infarction after diagnostic video-assisted thoracoscopy and pleurodesis for catamenial pneumothorax: A unique case report.

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  • 1Department of Anaesthesiology, Government General and Chest Hospital, Hyderabad, Andhra Pradesh, India.

Abstract

Myocardial infarction (MI) is uncommon in patients undergoing noncardiac surgery without a history of coronary artery disease. But, patients with compromised pulmonary function and coexisting anaemia superimposed by precipitating factors like prolonged hypotension and tachycardia can culminate in myocardial catastrophe even in the absence of risk factors. We are herewith reporting an unusual case of postoperative non-ST elevation MI without any pre-existing ischemic heart disease. A 39-year-old female patient who was submitted for diagnostic video-assisted thoracoscopy and chemical pleurodesis for recurrent pneumothorax developed postoperative MI. After review of all the factors, it was found that the patient developed Type 2 MI as a sequel to oxygen supply and demand mismatch secondary to hypoxia and prolonged hypotension. This was evident in the 12-lead electrocardiogram and was confirmed by elevated cardiac biomarkers and regional wall motion abnormality on echocardiography.

KEYWORDS:

Catamenial hemopneumothorax; intercostal drainage tube; myocardial infarction; perioperative myocardial infarction; recurrent pneumothorax; video-assisted thoracoscopy

PMID:
20882180
[PubMed]
PMCID:
PMC2943707
Free PMC Article
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