An unexpected cause of cardiac arrest during laparoscopy in an infant with supravalvar aortic stenosis.

Abstract

Patients with congenital supravalvar aortic stenosis (SVAS) with associated biventricular outflow tract obstruction and coronary artery abnormalities have a tenuous myocardial oxygen supply/demand relationship. They are at increased risk of acute myocardial ischemia and sudden death, especially during anesthesia. Furthermore, resuscitation during cardiac arrest is frequently unsuccessful. We report a case of perioperative cardiac arrest due to an unexpected cause in a 2 month old with SVAS during a laparoscopic Nissen fundoplication.

• Authors: Cornelius B Groenewald, Gregory J Latham
• Journal: Paediatric anaesthesia (Paediatr Anaesth) Vol. 23 Issue 1 Pg. 91-3 (Jan 2013) ISSN: 1460-9592 [Electronic] France
• PMID: 23137064 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2012 Blackwell Publishing Ltd.

Chemical References

• Crystalloid Solutions
• Isotonic Solutions
• Sympathomimetics
• Epinephrine

Topics

• Aortic Stenosis, Supravalvular (congenital, surgery)
• Crystalloid Solutions
• Epinephrine (therapeutic use)
• Fundoplication (adverse effects, methods)
• Heart Arrest (drug therapy, etiology)
• Humans
• Hypotension (etiology)
• Infant
• Isotonic Solutions (therapeutic use)
• Laparoscopy (methods)
• Male
• Oximetry (methods)
• Pneumoperitoneum, Artificial (adverse effects, methods)
• Resuscitation (methods)
• Sympathomimetics (therapeutic use)
• Treatment Outcome