Department of Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S110-3. doi: 10.4097/kjae.2010.59.S.S110. Epub 2010 Dec 31.
This report presents the case of a 63-year-old man who had a myocardial infarction leading to coronary artery bypass graft 2 years earlier who subsequently underwent elective laparoscopic cholecystectomy. After an uneventful operation, the patient developed an acute postoperative myocardial infarction in the recovery room and died 19 days postoperatively. Anesthesiologists should be aware of the rare possibility of acute, fatal postoperative myocardial infarction and consider this complication when they perform the preoperative risk evaluation, anesthesia, and postoperative care for cardiac patients undergoing noncardiac surgery.
本报告介绍了一位 63 岁男性的病例，他在 2 年前因心肌梗死导致冠状动脉旁路移植术，随后接受了择期腹腔镜胆囊切除术。手术过程顺利，但在恢复室中患者发生了急性术后心肌梗死，并在术后 19 天死亡。麻醉师应该意识到急性、致命性术后心肌梗死的罕见可能性，并在为接受非心脏手术的心脏患者进行术前风险评估、麻醉和术后护理时考虑这种并发症。
