Acute myocardial infarction associated with the induction of general anesthesia

Abstract

Perioperative acute myocardial infarction (AMI) is the most common cause of postoperative morbidity andmortality. It is a rare but important and fatal complication. Recognizing this situation may be difficult due tothe influence of general anesthesia. Early diagnosis and treatment can decrease the morbidity and mortality ofthis fatal complication. In this case we present a 56-year-old female planned nephrectomy. After induction ofgeneral anesthesia acute inferoposterior myocardial infarction occurred and coronary angiograhy showed theproximal portion of the circumflex coronary artery (Cx) was occluded by thrombus, the left anterior descendingcoronary artery and the right coronary artery were plaque. Percutaneous transluminal coronary angioplastyand the stenting resulted in successful dilatation of the Cx and she was discharged at the fifth day of interventionwithout any complication.