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KMID : 0388720130200040190
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Journal of Korean Society of Spine Surgery
2013 Volume.20 No. 4 p.190 ~ p.195
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Acute Myocardial Infarction and Postpharyngeal Hematoma after Anterior Cervical Spine Surgery on a Coronary Artery Disease Patient
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Kim Jung-Eun
Kang Young-Jin
Park Sung-Wook
Kim Keon-Sik
Lee Dong-Ki
Suk Kyung-Soo
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Abstract
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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.
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KEYWORD
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Anterior cervical spine surgery, Coronary artery disease, Postpharyngeal hematoma, Airway obstruction
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