[Peroperative myocardial infarction, which treatment at the acute period?]. / Infarctus du myocarde peropératoire, quelle prise en charge à la phase aiguë?

ABSTRACT

We report the case of a patient who presented, during a hip replacement, a cardiogenic shock following a myocardial infarction. After a successful resuscitation of three cardiac arrests, an intra-aortic balloon pump was inserted, then the patient could have been transferred to the nearest cardiac catheterization laboratory for a percutaneous dilatation of the right coronary artery, allowing the patient to have favourable outcome. Treatment of perioperative myocardial infarction is not really standardized. This case report depicts that in such critical condition, insertion of an intra-aortic balloon pump with early percutaneous angioplasty for acute peroperative myocardial infarction is a valuable option.