Is it safe to administer thrombolytic therapy to myocardial infarction patients soon after laparoscopic cholecystectomy?

Thrombolytic therapy is usually contraindicated after abdominal surgery bec ause of the risk of bleeding, We report a case of a 73-year-old woman who w as admitted because of anterior wall acute myocardial infarction (AMI) two weeks after laparoscopic cholecystectomy, She was treated with streptokinas e, aspirin and heparin and subsequently developed a hematoma at the site of the removed gallbladder. Our observation suggests that thrombolytic therap y for anterior AMI, two weeks after laparoscopic cholecystectomy, should be considered as a relative contraindication and an optional treatment in thi s life-threatening situation. Copyright (C) 2000 S. Karger AG, Basel.