Acute Myocardial Infarction and Postpharyngeal Hematoma after Anterior Cervical Spine Surgery on a Coronary Artery Disease Patient - A Case Report -

Jung-Eun Kim; Young-Jin Kang; Sung-Wook Park; Keon-Sik Kim; Dong-Ki Lee; Kyung-Soo Suk

doi:10.4184/jkss.2013.20.4.190

Journal List > J Korean Soc Spine Surg > v.20(4) > 1076002

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Kim, Kang, Park, Kim, Lee, and Suk: Acute Myocardial Infarction and Postpharyngeal Hematoma after Anterior Cervical Spine Surgery on a Coronary Artery Disease Patient - A Case Report -

Case Report

Journal of Korean Spine Surg 2013;20(4):190-195.

Published online: 21 December 2013

DOI: https://doi.org/10.4184/jkss.2013.20.4.190

Acute Myocardial Infarction and Postpharyngeal Hematoma after Anterior Cervical Spine Surgery on a Coronary Artery Disease Patient - A Case Report -

Jung-Eun Kim, M.D.^∗,^†, Young-Jin Kang, M.D.^†, Sung-Wook Park, M.D.^∗,^†, Keon-Sik Kim, M.D.^∗,^†, Dong-Ki Lee, M.D.^‡, Kyung-Soo Suk, M.D.^‡

^∗Department of Anesthesiology and Pain Medicine, Graduate School, Kyung Hee Medical University, Seoul, Korea

^†Department of Anesthesiology and Pain Medicine, Kyung Hee Medical Center, Kyung Hee University of Korea, Korea

^‡Department of Orthopedic Surgery, Kyung Hee Medical Center, Kyung Hee University of Korea, Korea

Corresponding author: Keon-Sik Kim, M.D Department of Anesthesiology and Pain Medicine, Kyung Hee Medical Center, Hoegi-dong, Dongdaemun-gu, Seoul, Korea TEL: 82-2-958-8589, FAX: 82-2-958-8580 E-mail: keonsikkim@gmail.com

Received 17 January 2013 Revised 18 February 2013 Accepted 27 September 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Study Design

Case report.

Objectives

To report a case of preventive intubation to coronary artery disease patient who underwent percutaneous coronary intervention following an anterior cervical spine surgery

Summary of Literature Review

Postpharyngeal hematoma occurs more to a patient who underwent percutaneous coronary intervention for myocardial infarction following an anterior cervical spine surgery. And postoperative airway obstruction due to it is one of the most serious adverse events associated with anterior cervical spine surgery. Preventive intubation was tried and it was useful for treatment.

Materials and Methods

A 61-year-old man suffered from neck pain and radiating pain on left upper extremity was performed an anterior cervical spine surgery. After operation, he complained acute myocardial infarction symptoms and Emergency percutaneous coronary intervention was performed. After that, postpharyngeal hematoma appeared and compressed the airway. Intubation was performed to prevent airway obstruction.

Result

Airway obstruction was prevented through early intubation. Hematoma evacuation and insertion of Hemovac performed and the patient discharged without any complications such as neurologic or cardiac problems.

Conclusion

Preventive intubation to coronary artery disease patient who underwent percutaneous coronary intervention following an anterior cervical spine surgery is useful for treatment of airway obstruction due to postpharyngeal hematoma.

Keywords: Anterior cervical spine surgery, Coronary artery disease, Postpharyngeal hematoma, Airway obstruction

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