Zanbak Mutlu Özgecan P, Mutlu Deniz, Kültürsay Barkın
Anesthesiology and Reanimation, Bahçelievler State Hospital, Istanbul, TUR.
Cardiology, Istanbul University-Cerrahpasa, Istanbul, TUR.
Cureus. 2023 Mar 22;15(3):e36527. doi: 10.7759/cureus.36527. eCollection 2023 Mar.
Intraoperative cardiac arrest (ICA) is a crucial property of morbidity and mortality for patients undergoing surgical operations. Spontaneous coronary artery dissection (SCAD) is an important cause of ICA and perioperative myocardial infarction, especially in young women. In this case report, we presented the successful management of SCAD-induced ICA in a 46-year-old female patient who underwent posterior spinal instrumentation in the prone position due to lumbar intervertebral disc extrusion.
术中心脏骤停(ICA)是接受外科手术患者发病和死亡的关键因素。自发性冠状动脉夹层(SCAD)是ICA和围手术期心肌梗死的重要原因,尤其是在年轻女性中。在本病例报告中,我们介绍了一名46岁女性患者因腰椎间盘突出症在俯卧位接受后路脊柱内固定手术时,成功处理SCAD所致ICA的情况。