Periprocedural antiplatelet management in cardiac patients undergoing dental extraction: A case report and review of literature

Abstract

Multidisciplinary care in healthcare is becoming the preferred approach to optimizing outcome. We present a case in which a patient developed a thrombotic occlusion of the mid left anterior descending coronary artery (very late stent thrombosis) leading to acute myocardial infarction while presenting for a dental extraction. Prior to the dental extraction his antiplatelet medication was held to minimize his risk of bleeding. This raises a question regarding the optimal use of antiplatelet medication during dental procedures. In complex cardiac patients we propose a multidisciplinary approach to antiplatelet management during the periprocedural period.

Keywords

• Dental procedure
• Myocardial infarction
• Stent thrombosis
• Anti-platelet management
• Multidisciplinary care