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

Cornelius B Groenewald; Gregory J Latham

doi:10.1111/pan.12069

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

Paediatr Anaesth. 2013 Jan;23(1):91-3. doi: 10.1111/pan.12069. Epub 2012 Nov 9.

Authors

Cornelius B Groenewald¹, Gregory J Latham

Affiliation

¹ Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington, Seattle, WA 98105, USA. [email protected]

PMID: 23137064
DOI: 10.1111/pan.12069

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.

Publication types

Case Reports

MeSH terms

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

Substances

Crystalloid Solutions
Isotonic Solutions
Sympathomimetics
Epinephrine