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Kardiologiia
Kardiologiia

ISSN 0022-9040 (Print)
ISSN 2412-5660 (Online)

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Clinical Case of Successful Nephrectomy and Stenting of the Coronary Arteries in Acute Period of Myocardial Infarction in a Patient With Kidney Cancer

D. P. Kotova, S. V. Kotov, R. I. Guspanov, M. Y. Gilyarov, V. S. Shemenkova, A. E. Udovichenko

https://doi.org/10.18087/cardio.2018.10.10188

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Abstract

We describe in this case report the clinical situation of development of massive macrohematuria at the background of dual antiplatelet therapy in a patient in the acute period of myocardial infarction with an established diagnosis of kidney cancer and a burdened cardiac anamnesis. Despite the high anesthetic and operational risk of complications, due to the need for coronary angiography with possible stenting of the coronary arteries, left ventricular thrombus and the impossibility of canceling antiplatelet agents and anticoagulants, the patient underwent radical nephrureterectomy, which allowed further stenting of the anterior interventricular artery occlusion and thus to reduce the risk of developing a repeated myocardial infarction.

Keywords

инфаркт миокарда, опухоль почки, ранняя постинфарктная стенокардия, макрогематурия, нефрэктомия, myocardial infarction, kidney tumor, early post-infarction angina, macrohematuria, nephrectomy

About the Authors

D. P. Kotova

Pirogov Russian National Research Medical University
Russian Federation

S. V. Kotov

Pirogov Russian National Research Medical University
Russian Federation

R. I. Guspanov

Pirogov Russian National Research Medical University
Russian Federation

M. Y. Gilyarov

Pirogov Russian National Research Medical University
Russian Federation

V. S. Shemenkova

Pirogov Russian National Research Medical University
Russian Federation

A. E. Udovichenko

Pirogov Russian National Research Medical University
Russian Federation

References

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2. Valgimigli M., Bueno H., Byrne R. A. et al. 2017 ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS. Eur Heart J. 2017;10:1-48.

3. Kristensen S. D., Knuuti J., Saraste A. et al. 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management: The Joint Task Force on noncardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). Eur Heart J. 2014;35:2383-2431.

4. Devereaux P.J., Sessler D. I. Cardiac complications in patients undergoing major non-cardiac surgery. N. Engl J. Med 2015; 373:2258-2269.

5. Багрий А. Э., Борота А. В., Хоменко М. В. и др. Вопросы тактики лечения кардиологических больных, подвергающихся некардиологическим хирургическим вмешательствам. Кардиология 2017;57 (6):52-58

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For citations:

Kotova D.P., Kotov S.V., Guspanov R.I., Gilyarov M.Y., Shemenkova V.S., Udovichenko A.E. Clinical Case of Successful Nephrectomy and Stenting of the Coronary Arteries in Acute Period of Myocardial Infarction in a Patient With Kidney Cancer. Kardiologiia. 2018;58(10):96-100. (In Russ.) https://doi.org/10.18087/cardio.2018.10.10188

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ISSN 0022-9040 (Print)
ISSN 2412-5660 (Online)