Myocardial Infarction After Craniotomy for Asymptomatic Meningioma

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2022 Dec 29

PMID 36581354

Authors

Kristen Michelle Westfall

Roger Navine Ramcharan

Harry Linne Anderson 3rd

Affiliations

Soon will be listed here.

Abstract

A man in his 40s with a history of coronary artery disease previously treated with a drug-eluting stent presented for elective craniotomy and resection of an asymptomatic but enlarging meningioma. During his craniotomy, he received desmopressin and tranexamic acid for surgical bleeding. Postoperatively, the patient developed chest pain and was found to have an ST-elevation myocardial infarction (MI). Because of the patient's recent neurosurgery, standard post-MI care was contraindicated and he was instead managed symptomatically in the intensive care unit. Echocardiogram on postoperative day 1 demonstrated no regional wall motion abnormalities and an ejection fraction of 60%. His presentation was consistent with thrombosis of his diagonal stent. He was transferred out of the intensive care unit on postoperative day 1 and discharged home on postoperative day 3.

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