Intraoperative myocardial infarction: Kounis syndrome provoked by latex allergy

We report the case of a 43-year-old man with anaphylactic shock and concurrent ST-elevation myocardial infarction during a planned inguinal hernia surgery. This event occurred shortly after introduction of latex into the surgical field. Coronary angiography revealed a 70% occlusive lesion in the rig...

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Veröffentlicht in:	BMJ case reports 2013-01, Vol.2013, p.bcr2012007581
Hauptverfasser:	Marcoux, Veronica, Nosib, Shravan, Bi, Henry, Brownbridge, Brian
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute coronary syndromes Adult Allergies Anaphylaxis - complications Blood clots Cardiovascular disease Coronary vessels Electrocardiography Family medical history Gloves, Surgical - adverse effects Heart attacks Heart failure Hernia, Inguinal - surgery Hernias Herniorrhaphy Humans Intraoperative Complications Latex Hypersensitivity - complications Male Medical imaging Myocardial Infarction - complications Pain Patients Rare Disease Sinuses Stents Syndrome Thrombosis USA/Canada White
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Beschreibung
Zusammenfassung:	We report the case of a 43-year-old man with anaphylactic shock and concurrent ST-elevation myocardial infarction during a planned inguinal hernia surgery. This event occurred shortly after introduction of latex into the surgical field. Coronary angiography revealed a 70% occlusive lesion in the right coronary artery. Further discussion with the patient revealed a potential latex allergy. Skin prick testing showed marked sensitisation to latex. The patient was subsequently diagnosed with the type II variant of Kounis syndrome.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2012-007581