With aging of population and increasing number of percutaneous coronary interventions, we frequently encounter patients with coronary artery disease (CAD) and coronary artery stents in the perioperative period. CAD increases the risk of perioperative myocardial infarction which worsens prognosis. It is important for us to evaluate those patients properly. In this review, we describe a classification and characteristics of perioperative myocardial infarction and highlight the mechanism and risk factors of stent thrombosis. We present a way of evaluation and perioperative management of patients with CAD, based on recent guidelines and findings. We present our real cases and perioperative management of CAD and coronary artery stents.
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