Cardiac arrest at induction of anesthesia in a child with undiagnosed right-ventricular dependent coronary circulation: a case report.
نویسندگان
چکیده
Pediatric perioperative cardiac arrest occurs in 1.4 per 10,000 anesthetics, with an overall mortality rate of 26%. The etiology of the arrest is identifiable in the majority of these patients. We report the case of a child with a complex congenital heart defect, who sustained a cardiac arrest at induction of anesthesia, secondary to right-ventricular dependent coronary circulation. We discuss the incidence, risks, anesthetic management and outcomes of pediatric cardiac arrest in the perioperative period especially in patients with complex congenital heart disease.
منابع مشابه
بلوک کامل قلبی مادرزادی، معرفی یک مورد و مرور مقالات مشابه
Abstract: Background and Aim: Since electrocardiography (ECG) is essential for the diagnosis of pediatric asymptomatic Complete Heart Block (CHB) and it is not usually done in the preoperative evaluation of asymptomatic children, physicians might confront with asymptomatic cases of CHB at anesthesia induction. Case Report: In this study, we introduced a 31-month-old boy who faced CHB after anes...
متن کاملA Rare Case of Giant Coronary Aneurysm in a 5- Year- Old Child
Coronary aneurysms are typically seen in association with Kawasaki disease and only in rare instances, they are reported to be congenital or idiopathic. Here we report a case of a five year old boy who was found to have an idiopathic right coronary artery aneurysm. He presented with complaints of recurrent respiratory tract infections. His examination and investigations did not reveal any of th...
متن کاملA Sudden Change of Heart: A Case of Rapidly Reversed Stress Cardiomyopathy in a Critically Ill Patient
We report the case of a 79-year-old woman who presented to our hospital for elective removal of an infratentorial meningioma and suffered a periprocedural cardiac arrest. Shortly after uncomplicated induction of anesthesia prior to the surgery, the patient became hypotensive and bradycardic, culminating ultimately in a cardiac arrest with pulseless electrical activity. Return of spontaneous cir...
متن کاملگزارش یک مورد ایست قلبی در حین بیهوشی عمومی
Background: Cardiac arrest during general anesthesia is a rare and potentially fatal condition. Despite the progression of monitoring equipments and anesthetic mediations, this phenomenon is still an important problem for the anesthesiologists. Case Presentation: Herein, we reported a 38-year-old opium addict plasterer male scheduled for laminectomy. He had no previous medical history and took...
متن کاملSudden cardiac arrest in general anesthesia as the first manifestation of anomalous origin of the left coronary artery.
BACKGROUND AND OBJECTIVES This case report describes a rare and potentially fatal condition associated with anesthesia administration. Our aim was to discuss the causes of sudden cardiac arrest during the perioperative period in apparently healthy patients and the pathophysiology of anomalous origin of the coronary arteries as a cause of sudden cardiac arrest. CASE REPORT Female patient, 44 y...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Paediatric anaesthesia
دوره 16 11 شماره
صفحات -
تاریخ انتشار 2006