ABSTRACT
Las complicaciones cardiovasculares, en particular el infarto de miocardio perioperatorio, contribuyen significativamente a la morbimortalidad tras la cirugía no cardiaca. Presentamos el caso de un hombre de 41 años de edad, fumador, con dislipidemia, sometido a una cirugía ortognática bimaxilar, que desarrolló un síndrome coronario agudo en el periodo postoperatorio inmediato. El infarto agudo de miocardio se diagnosticó de manera temprana, realizándose de inmediato una angioplastia coronaria transluminal percutánea, que se tradujo en un resultado y evolución favorables (AU)
Cardiovascular complications, in particular perioperative myocardial infarctions, are central contributors to morbidity and mortality after non-cardiac surgery. We present a case of a 41-year-old male, smoker and dyslipidemic, who underwent bimaxillary orthognathic jaw surgery with the development of an acute coronary syndrome in the immediate postoperative period. We managed to early diagnose the myocardial infarction and promptly performed a percutaneous transluminal coronary angioplasty, resulting in a positive outcome (AU)
Subject(s)
Humans , Male , Adult , Myocardial Infarction/complications , Orthognathic Surgery/methods , Angioplasty/methods , Early Diagnosis , Anesthesia, General , Fentanyl/administration & dosage , Propofol/administration & dosage , Postoperative Complications/surgery , Perioperative Period/trends , Midazolam/administration & dosage , Intubation , Coronary Vessels/pathology , Coronary Vessels , Mandible/surgery , MandibleABSTRACT
Cardiovascular complications, in particular perioperative myocardial infarctions, are central contributors to morbidity and mortality after non-cardiac surgery. We present a case of a 41-year-old male, smoker and dyslipidemic, who underwent bimaxillary orthognathic jaw surgery with the development of an acute coronary syndrome in the immediate postoperative period. We managed to early diagnose the myocardial infarction and promptly performed a percutaneous transluminal coronary angioplasty, resulting in a positive outcome.