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Canadian Journal of Anesthesia, Vol 33, 509-514, Copyright © 1986 by Canadian Anesthesiologists' Society

Development of Malignant Hyperthermia Obscured by Cardiopulmonary Bypass

R. G. MACGILLIVRAY FFA(SA)1, H. JANN MD (Zurich)1, E. VANKER FRCS1, L. GEMMELL FFARCS1, and A. E. MAHOMEDY FFA(SA)1

1 Departments of Anaesthetics and Thoracic Surgery, Wentworth Hospital and the University of Natal, Durban, South Africa

Address correspondence to: Dr. R.G. MacGillivray, Department of Anaesthetics, Wentworth Hospital, Private Bag Jacobs 4026, Durban, Natal, Republic of South Africa.

An episode of malignant hyperthermia occurring in a two-year-old child undergoing cardiac surgery is reported. The coincidental usage of hypothermic cardiopulmonary bypass obscured the classical presenting signs and symptoms of the syndrome. Once the clinical diagnosis was confirmed, rapid reversal was achieved with the administration of dantrolene sodium.

Key Words: HYPERTHERMIA: malignant • SURGERY: cardiac






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Copyright © 1986 by the Canadian Anesthesiologists' Society.