Major Gynaecological Surgery in Patients with Severe Coronary Artery Disease — the Combined Approach |
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| Authors: | P. Kantian MRCP V. Sivanesaratnam FRCOG FICS FACS R. Jeyamalar MRCP A. Delilkan FFARCS FFARACS Grade Ong FFARACS |
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| Affiliation: | Department of Medicine, University of Malaya, Kuala Lumpur. |
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| Abstract: | The gynaecologist today is likely to encounter elderly patients with severe coronary heart disease requiring major gynaecological surgery. The successful outcome in 2 such patients with compromised coronary circulation and impaired left ventricular function emphasized the importance of combined care with the cardiologist and the anaesthetist. The insertion of a Swan-Ganz catheter for close perioperative monitoring is vital. The intra-and postoperative problems are discussed. |
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