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

Authors

  • Cornelius B. Groenewald,

    Corresponding author
    • Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington, Seattle, WA, USA
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  • Gregory J. Latham

    1. Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington, Seattle, WA, USA
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Correspondence

Cornelius B. Groenewald, Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, 4800 Sand Point Way NE, W-9824, Seattle, WA 98105, USAEmail: cornelius.groenewald@seattlechildrens.org

Summary

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.

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