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Canadian Journal of Anesthesia, Vol 33, 795-798, Copyright © 1986 by Canadian Anesthesiologists' Society

Ventricular Fibrillation During General Anaesthesia in a Seven-Year-Old Patient With Mitral Valve Prolapse

PIERRE A. CASTHELY MD1, JOHN DLUZNESKI MD1, MARILYN A. RESURRECCION MD1, NIKITAS KLEOPOULOS MD1, and VLADIMIR REDKO MD1

1 Department of Anesthesiology, State University Hospital, Downstate Medical Center, Brooklyn, New York

Address correspondence to: Dr. Pierre A. Casthely, Department of Anesthesiology, State University Hospital, Downstate Medical Center, 450 Clarkson Avenue, Box 6, Brooklyn, New York 11203.

A case report is presented of a seven-year-old boy who developed ventricular fibrillation during general anaesthesia with atracurium, O2, N2O and halothane, following tracheal intubation for hypospadias revision. He spontaneously defibrillated and the surgery was cancelled. Echocardiography done two days later was normal. The patient returned two weeks later for the same procedure. He developed nodal tachycardia, and premature ventricular contractions, which responded to lidocaine. A second echocardiographic examination done postoperatively while the child as crying showed mitral valve prolapse.

Key Words: HEART: mitral valve prolapse • COMPLICATIONS: cardiac arrythmias






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Copyright © 1986 by the Canadian Anesthesiologists' Society.