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Vol. 64. Issue 9.
Pages 528-532 (November 2017)
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Vol. 64. Issue 9.
Pages 528-532 (November 2017)
Case report
Postoperative myocardial infarction in an orthognatic jaw surgery
Infarto de miocardio postoperatorio en una cirugía ortognática de mandíbula
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F. Vieira Marquesa,
Corresponding author
filipa.v.marques@gmail.com

Corresponding author.
, F. Montenegro Sáb, T. Lapaa,c, I. Simõesa
a Departamento de Anestesiología, Centro Hospitalar é Universitário de Coimbra, Coimbra, Portugal
b Departamento de Cardiología, Hospital de Santo André, Leiria, Portugal
c Facultad de Ciencias de la Salud, Universidad da Beira Interior, Covilhã, Portugal
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Abstract

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.

Keywords:
General anesthesia
Myocardial infarction
Perioperative period
Postoperative complications
Resumen

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.

Palabras clave:
Anestesia general
Infarto del miocardio
Periodo perioperatorio
Complicaciones postoperatorias

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