A case of tongue cancer patient treated after reconstruction of coronary artery disease

概要

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Incidence of perioperative complication and mortality rate becomes higher when coronary heart disease patients are to undergo non-cardiac surgery. We experienced an oral cancer patient who was treated by reconstruction, after asymptomatic coronary three-vessel disease was detected in the preoperative examination. Although hypertension had been pointed out by a physician for 20 years, he had left it untreated and neither the chest symptoms nor breathing difficulties had been recognized. Since abnormality in chest X-ray films and electrocardiogram had been checked, we consulted the physician and coronary heart disease was detected. For the prognosis, we consulted the physician and decided to perform coronary reconstruction with stent. Five weeks later, oral tumor resection was performed safely in close cooperation under suspending antiplatelet therapy.<BR>The number of patients with coronary artery disease is expected to increase. Therefore we should consider not only the treatment of malignant tumor but also asymptomatic coronary disease patients to improve their long-term prognosis.
特定非営利活動法人日本口腔科学会の論文