Acute Myocardial Infarction Followed by Acute Necrosis Cholecystitis and Sepsis: Treatment in Dilemma

Studies showed a high risk of major adverse cardiac events if a non-cardiac surgery was performed early after coronary stenting. There is no literature about non-cardiac surgery early after acute myocardial infarction. We present a 66 years old woman suffered from fever and shiver on the 6th day after coronary stenting for acute myocardial infarction with continuously use of dual antiplatelet and anticoagulant drugs. Immediately after acute cholecystitis and gall stone were diagnosed by abdominal ultrasonography on the 7th day, we performed an emergency open cholecystectomy. The pathological examination showed acute hemorrhagic and necrosis cholecystitis and inflammation of surrounding tissues. Three days later, clopidogrel and aspirin was reinstituted to her with no major adverse cardiac events or surgery complications. doi:10.4021/jmc450w