Acute myocarditis-related complete atrioventricular block---an accidental finding in an acute appendicitis patient

Acta Anaesthesiol Taiwan. 2008 Sep;46(3):138-41. doi: 10.1016/S1875-4597(08)60009-0.

Abstract

We report a 20-year-old male patient with preoperatively undiagnosed myocarditis, who received general anesthesia for laparoscopic appendectomy. Because of arrhythmia, a cardiologist was consulted postoperatively. The 12-lead electrocardiogram showed complete atrioventricular block and the echocardiogram showed global hypokinesia of the left ventricle with impaired contractility, a left ejection fraction of 37%, and a dilated right heart. Subsequently, a permanent pacemaker was implanted and the patient was discharged from hospital without any complications.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Appendectomy
  • Appendicitis / complications*
  • Atrioventricular Block / diagnosis*
  • Atrioventricular Block / etiology*
  • Humans
  • Incidental Findings
  • Laparoscopy
  • Male
  • Myocarditis / complications*
  • Young Adult