• Paediatric anaesthesia · Jan 2013

    Case Reports

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

    • Cornelius B Groenewald and Gregory J Latham.
    • Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington, Seattle, WA 98105, USA. cornelius.groenewald@seattlechildrens.org
    • Paediatr Anaesth. 2013 Jan 1; 23 (1): 91-3.

    AbstractPatients 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.© 2012 Blackwell Publishing Ltd.

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