1. Postoperative death in a patient with unrecognized arrhythmogenic right ventricular dysplasia syndrome.
- Author
-
Toh KW, Nadesan K, Sie MY, Vijeyasingam R, and Tan PS
- Subjects
- Anesthesia, Arrhythmogenic Right Ventricular Dysplasia complications, Cysts surgery, Electrocardiography, Fatal Outcome, Female, Heart Ventricles pathology, Hemodynamics physiology, Humans, Liver Diseases surgery, Middle Aged, Postoperative Complications pathology, Shock, Cardiogenic etiology, Arrhythmogenic Right Ventricular Dysplasia pathology
- Abstract
Arrhythmogenic right ventricular dysplasia is an inherited disease causing fatty replacement of heart tissue. This disease often presents as T-wave inversion in the anterior leads of the electrocardiogram (ECG) with life-threatening ventricular arrhythmias. In older patients, progressive right and left ventricular failure can develop. This is a case report of postoperative death occurring in a 59-yr-old woman with undiagnosed arrhythmogenic right ventricular dysplasia after hepatic cystectomy. The patient had T-wave inversion in the inferior ECG leads and no history of arrhythmias. During general anesthesia, cardiovascular collapse occurred in the absence of arrhythmias that was unresponsive to resuscitation.
- Published
- 2004
- Full Text
- View/download PDF