Intraoperative ST-segment elevation myocardial infarction and sudden cardiac arrest during radical cystectomy: A case report

Perioperative acute myocardial infarction is a life-threatening event. The aim of preoperative evaluation identifying at-risk patient developing postoperative complications and to undertake risk reduction measures prevent such complications. We report case male with good functional capacity unknown history cardiovascular disease undergoing radical cystectomy who suffered intra-operative cardiac arrest ST-segment elevation ischemia. Postoperative urgent coronary revascularization was done dual antiplatelets therapy prescribed. course uneventful no bleeding complication. Major perioperative events in noncardiac surgery are still probable despite the current guidelines evaluation. Early antiplatelet administration were feasible did not produce critical surgical bleeding.