Published online Nov 16, 2022. doi: 10.12998/wjcc.v10.i32.11861
Peer-review started: May 29, 2022
First decision: August 21, 2022
Revised: September 1, 2022
Accepted: October 13, 2022
Article in press: October 13, 2022
Published online: November 16, 2022
Processing time: 162 Days and 18.8 Hours
Cardiac arrest after noncardiac surgery is a dangerous complication that may contribute to mortality. Because of the high mortality rate and many complications of cardiac arrest, it is very important to identify and correct a reversible etiology early. By reporting the treatment process of this case, we aimed to bro
A 69-year-old man visited our hospital complaining of low back pain on July 12, 2021. Magnetic resonance imaging showed lumbar disc herniation. Two hours after lumbar disc herniation surgery, the patient developed cardiac arrest. Cardiopulmonary resuscitation was performed, and ECMO was started 60 min after the initiation of cardiopulmonary resuscitation. Regarding the etiology of early cardiac arrest after surgery, acute myocardial infarction and pulmonary embolism were considered first. Based on ultrasound evaluation, acute myo
For early postoperative cardiac arrest, acute myocardial infarction should be considered first, and heparin should be used with caution.
Core Tip: Cardiac arrest after noncardiac surgery has high mortality and many complications. Therefore, it is important to identify and correct a reversible etiology early. We treated a 69-year-old patient who developed cardiac arrest 2 h after lumbar disc herniation surgery. Coronary angiography under extracorporeal membrane oxygenation was performed 1 h after cardiopulmonary resuscitation, and coronary artery stenting was performed after confirming occlusion of the left anterior descending branch. The patient was finally discharged in good clinical condition. This case showed that acute myocardial infarction should be considered first, and heparin should be used cautiously in patients with early postoperative cardiac arrest.