Key result
A 56-year-old female developed an acute inferoposterior myocardial infarction immediately following the induction of general anesthesia, which was successfully treated with coronary angioplasty.
Case Report (n=1)
No
Perioperative acute myocardial infarction can occur during general anesthesia induction even in patients without conventional risk factors, and prompt recognition with percutaneous coronary intervention can lead to successful outcomes.
Heightened vigilance for MI at anesthesia induction warranted; single case leaves open true incidence and prevention strategies.
Perioperative acute myocardial infarction (AMI) is the most common cause of postoperative morbidity and mortality. It is a rare but important and fatal complication. Recognizing this situation may be difficult due to the influence of general anesthesia. Early diagnosis and treatment can decrease the morbidity and mortality of this fatal complication. In this case we present a 56-year-old female planned nephrectomy. After induction of general anesthesia acute inferoposterior myocardial infarction occurred and coronary angiograhy showed the proximal portion of the circumflex coronary artery (Cx) was occluded by thrombus, the left anterior descending coronary artery and the right coronary artery were plaque. Percutaneous transluminal coronary angioplasty and the stenting resulted in successful dilatation of the Cx and she was discharged at the fifth day of intervention without any complication.
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Küçük et al. (2018) conducted a case report in Acute myocardial infarction (n=1). General anesthesia induction was evaluated on Occurrence of acute myocardial infarction. A 56-year-old female developed an acute inferoposterior myocardial infarction immediately following the induction of general anesthesia, which was successfully treated with coronary angioplasty.
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