Is It Safe to Administer Thrombolytic Therapy to Myocardial Infarction Patients Soon after Laparoscopic Cholecystectomy?

Thrombolytic therapy is usually contraindicated after abdominal surgery because of the risk of bleeding. We report a case of a 73-year-old woman who was admitted because of anterior wall acute myocardial infarction (AMI) two weeks after laparoscopic cholecystectomy. She was treated with streptokinas...

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Veröffentlicht in:	Cardiology 1999-01, Vol.92 (1), p.71-72
Hauptverfasser:	Kobal, Sergio, Orlov, Genadi, Gilutz, Harel, Cafri, Carlos, Battler, Alexander, Leor, Jonathan
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Biological and medical sciences Blood. Blood coagulation. Reticuloendothelial system Case Report Cholecystectomy, Laparoscopic Contraindications Female Gastrointestinal Hemorrhage - etiology Hematoma - etiology Humans Medical sciences Myocardial Infarction - drug therapy Pharmacology. Drug treatments Thrombolytic Therapy - adverse effects
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Zusammenfassung:	Thrombolytic therapy is usually contraindicated after abdominal surgery because of the risk of bleeding. We report a case of a 73-year-old woman who was admitted because of anterior wall acute myocardial infarction (AMI) two weeks after laparoscopic cholecystectomy. She was treated with streptokinase, aspirin and heparin and subsequently developed a hematoma at the site of the removed gallbladder. Our observation suggests that thrombolytic therapy for anterior AMI, two weeks after laparoscopic cholecystectomy, should be considered as a relative contraindication and an optional treatment in this life-threatening situation.
ISSN:	0008-6312 1421-9751
DOI:	10.1159/000006950