Key result
A patient with perioperative myocardial infarction leading to cardiac arrest was successfully resuscitated and treated with a drug-eluting stent, achieving full neurological recovery.
Case Report (n=1)
Prompt multidisciplinary intervention including percutaneous coronary intervention can successfully salvage patients experiencing perioperative myocardial infarction complicated by asystole.
Demonstrates successful PCI outcome in perioperative arrest; leaves open generalizability beyond this single case.
Perioperative myocardial infarction (PMI) in patients without a prior history of coronary artery disease is quite rare. Diagnosing PMI is also quite challenging because of a myriad of events mimicking MI during the perioperative period. we are reporting of PMI leading to cardiac arrest which was successfully resuscitated with the help of a multidisciplinary team. Cardiologist opinion was obtained, and angiogram was done which showed block in left anterior descending artery for which he was stented with drug-eluting stent and discharged a week after with full neurological recovery. The mechanism for triggering PMI in our case is quite inconclusive.
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Segaran et al. (2018) conducted a case report in Perioperative myocardial infarction (n=1). Resuscitation and percutaneous coronary intervention with drug-eluting stent was evaluated on Survival and neurological recovery. A patient with perioperative myocardial infarction leading to cardiac arrest was successfully resuscitated and treated with a drug-eluting stent, achieving full neurological recovery.
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