Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Cardiac arrest due to an unexpected acute myocardial infarction during head and neck surgery: A case report

  • Kim, Jimin (Department of Dental Anesthesiology, Seoul National University Dental Hospital) ;
  • So, Eunsun (Department of Dental Anesthesiology, Seoul National University Dental Hospital) ;
  • Kim, Hyun Jeong (Department of Dental Anesthesiology, Seoul National University Dental Hospital) ;
  • Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University Dental Hospital) ;
  • Karm, Myong-Hwan (Department of Dental Anesthesiology, Seoul National University Dental Hospital)
  • Received : 2018.02.01
  • Accepted : 2018.02.13
  • Published : 2018.02.28
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Abstract

Major cardiac complication such as acute myocardial infarction can occur unexpectedly in patients without risk factors. We experienced cardiac arrest due to an unexpected acute myocardial infarction in a patient without any risk factors during head and neck reconstructive surgery. The patient was diagnosed with acute myocardial infarction after return of spontaneous circulation. With immediate percutaneous coronary intervention, the patient recovered without complications.

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References

  1. Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, et al. An estimation of the global volume of surgery: A modelling strategy based on available data. Lancet 2008; 372: 139-44. https://doi.org/10.1016/S0140-6736(08)60878-8
  2. Kristensen SD, Knuuti J, Saraste A, Anker S, Botker HE, Hert SD, et al. 2014 ESC/ESA guidelines on non-cardiac surgery: Cardiovascular assessment and management: The joint task force on non-cardiac surgery: Cardiovascular assessment and management of the european society of cardiology (ESC) and the european society of anaesthesiology (ESA). Eur Heart J 2014; 35: 2383-431. https://doi.org/10.1093/eurheartj/ehu282
  3. Irita K, Kawashima Y, Seo N, Morita K, Iwao Y, Tsuzaki K. Cardiac arrest in the operating theatre and its outcome: An analysis of 3,855,384 anesthetics over 4 years in japanese society of anesthesiologists - certified training hospitals: A-28. Eur J Anaesthesiol 2004; 21: 8.
  4. Biboulet P, Aubas P, Dubourdieu J, Rubenovitch J, Capdevila X, d'Athis F. Fatal and nonfatal cardiac arrests related to anesthesia. Can J Anaesth 2001; 48: 326-32. https://doi.org/10.1007/BF03014958
  5. Olsson GL, Hallen B. Cardiac arrest during anaesthesia. A computer-aided study in 250,543 anaesthetics. Acta Anaesthesiol Scand 1988; 32: 653-64. https://doi.org/10.1111/j.1399-6576.1988.tb02804.x
  6. Newland MC, Ellis SJ, Lydiatt CA, Peters KR, Tinker JH, Romberger DJ, et al. Anesthetic-related cardiac arrest and its mortality: A report covering 72,959 anesthetics over 10 years from a us teaching hospital. Anesthesiology 2002; 97: 108-15. https://doi.org/10.1097/00000542-200207000-00016
  7. Rukewe A, Fatiregun A, Osunlaja TO. Cardiac arrest during anesthesia at a university hospital in nigeria. Niger J Clin Pract 2014; 17: 28-31. https://doi.org/10.4103/1119-3077.122829
  8. You TM, Kim S. Pulseless electrical activity during general anesthesia induction in patients with amyotrophic lateral sclerosis. J Dent Anesth Pain Med 2017; 17: 235-40. https://doi.org/10.17245/jdapm.2017.17.3.235
  9. Messahel FM, Al-Qahtani AS. Incidence of perioperative cardiac arrest: Analysis of anesthetics over 18-year period. Middle East J Anaesthesiol 2010; 20: 815-9.
  10. Oberman A, Kouchoukos NT, Holt JH, Jr., Russell RO, Jr. Long-term results of the medical treatment of coronary artery disease. Angiology 1977; 28: 160-8. https://doi.org/10.1177/000331977702800304
  11. Chiang S, Cohen B, Blackwell K. Myocardial infarction after microvascular head and neck reconstruction. Laryngoscope 2002; 112: 1849-52. https://doi.org/10.1097/00005537-200210000-00027
  12. Pratt GF, Faris JG, Lethbridge M, Teh LG. Breast reconstruction with a free diep (tram) flap complicated by cardiac tamponade and arrest: A case report. J Plast Reconstr Aesthet Surg 2009; 62: e73-5. https://doi.org/10.1016/j.bjps.2008.10.019
  13. Young L, Myers LL. Free flap reconstruction of oral composite defect complicated by intraoperative cardiac arrest: A case report. Microsurgery 2013; 33: 236-8. https://doi.org/10.1002/micr.22061
  14. Bicsak A, Jellen A, Tuppy H, Poeschl WP. Sudden death after major head and neck cancer surgery due to undetected arrhythmogenic right ventricle cardiomyopathy (ARVC). Oral Maxillofac Surg 2016; 20: 431-4. https://doi.org/10.1007/s10006-016-0567-0
  15. Ha W, Kim KN, Ann SH, Yoon CS. Sudden cardiac death with myocardial infarction after free-flap lower extremity reconstruction. Chin Med J (Engl) 2017; 130: 499-500. https://doi.org/10.4103/0366-6999.199830
  16. Celik T, Yuksel UC, Kursaklioglu H, Iyisoy A, Kose S, Isik E. Precordial st-segment elevation in acute occlusion of the proximal right coronary artery. J Electrocardiol 2006; 39: 301-4. https://doi.org/10.1016/j.jelectrocard.2006.02.003
  17. Acikel M, Yilmaz M, Bozkurt E, Gurlertop Y, Kose N. St segment elevation in leads v1 to v3 due to isolated right ventricular branch occlusion during primary right coronary angioplasty. Catheter Cardiovasc Interv 2003; 60: 32-5. https://doi.org/10.1002/ccd.10610
  18. Adesanya AO, de Lemos JA, Greilich NB, Whitten CW. Management of perioperative myocardial infarction in noncardiac surgical patients. Chest 2006; 130: 584-96. https://doi.org/10.1016/S0012-3692(15)51881-3
  19. Lee TH, Marcantonio ER, Mangione CM, Thomas EJ, Polanczyk CA, Cook EF, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 1999; 100: 1043-9. https://doi.org/10.1161/01.CIR.100.10.1043
  20. Devereaux PJ, Sessler DI. Cardiac complications in patients undergoing major noncardiac surgery. N Engl J Med 2015; 373: 2258-69. https://doi.org/10.1056/NEJMra1502824
  21. Stevens RD, Burri H, Tramer MR. Pharmacologic myocardial protection in patients undergoing noncardiac surgery: A quantitative systematic review. Anesth Analg 2003; 97: 623-33.
  22. Martinez EA, Kim LJ, Faraday N, Rosenfeld B, Bass EB, Perler BA, et al. Sensitivity of routine intensive care unit surveillance for detecting myocardial ischemia. Crit Care Med 2003; 31: 2302-8. https://doi.org/10.1097/01.CCM.0000084857.87446.DD
  23. Thygesen K, Alpert JS, White HD. Universal definition of myocardial infarction. J Am Coll Cardiol 2007; 50: 2173-95. https://doi.org/10.1016/j.jacc.2007.09.011
  24. Link MS, Berkow LC, Kudenchuk PJ, Halperin HR, Hess EP, Moitra VK, et al. Part 7: Adult advanced cardiovascular life support: 2015 american heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2015; 132: S444-64. https://doi.org/10.1161/CIR.0000000000000261