PT  - JOURNAL ARTICLE
AU  - Kristen Michelle Westfall
AU  - Roger Navine Ramcharan
AU  - Harry Linne Anderson, III
TI  - Myocardial infarction after craniotomy for asymptomatic meningioma
AID  - 10.1136/bcr-2022-252256
DP  - 2022 Dec 01
TA  - BMJ Case Reports
PG  - e252256
VI  - 15
IP  - 12
4099  - http://casereports.bmj.com/content/15/12/e252256.short
4100  - http://casereports.bmj.com/content/15/12/e252256.full
SO  - BMJ Case Reports2022 Dec 01; 15
AB  - A man in his 40s with a history of coronary artery disease previously treated with a drug-eluting stent presented for elective craniotomy and resection of an asymptomatic but enlarging meningioma. During his craniotomy, he received desmopressin and tranexamic acid for surgical bleeding. Postoperatively, the patient developed chest pain and was found to have an ST-elevation myocardial infarction (MI). Because of the patient’s recent neurosurgery, standard post-MI care was contraindicated and he was instead managed symptomatically in the intensive care unit. Echocardiogram on postoperative day 1 demonstrated no regional wall motion abnormalities and an ejection fraction of 60%. His presentation was consistent with thrombosis of his diagonal stent. He was transferred out of the intensive care unit on postoperative day 1 and discharged home on postoperative day 3.