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Ann Fr Anesth Reanim · Oct 2003
Case Reports[Non cardiac surgery in patient with coronary stenting: think sirolimus now!].
- M H Fléron, M Dupuis, P Mottet, C Le Feuvre, and G Godet.
- Département d'anesthésie-réanimation, groupe hospitalier Pitié-Salpêtrière, 75013 Paris, France. mh.fleron@psl.ap-hop-paris.fr
- Ann Fr Anesth Reanim. 2003 Oct 1; 22 (8): 733-5.
AbstractWe describe a severe preoperative cardiogenic shock in a patient scheduled for a breast surgery. The cardiogenic shock was in relation with thrombosis of two sirolimus-eluting stents received 3 months ago. A percutaneous transluminal coronary angioplasty was successfully performed. The patient recovered well after a 1-day treatment including intraaortic balloon counter pulsation and dobutamine infusion. We discuss about the ideal timing to plan surgery and how to manage the shift of antiplatelet agents.
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