TY - JOUR
T1 - Recurrent syncope in a child and video assisted thoracoscopic surgery-The long and short of it
AU - Kaur, Manpreet
AU - Ramakumar, Nirupa
AU - Yadav, Sangam
AU - Subramaniam, Rajeshwari
N1 - Publisher Copyright:
© 2019 Indian Society of Anaesthetists. All rights reserved.
PY - 2019/10
Y1 - 2019/10
N2 - Long QT syndrome (LQTS) is a myocardial repolarisation disorder caused by cardiac ion channelopathy and one of its common presentations is recurrent syncope. This reduced repolarisation reserve in LQTS can be unmasked by perioperative factors like electrolyte imbalance, drugs, hypothermia and changes in cardiac autonomic tone. We report the anaesthetic management of left thoracoscopic sympathectomy in a 5-year-old child with LQTS and epicardial pacemaker in situ. It is very challenging to isolate the lung on one hand and prevent the predisposition to torsadogenic potential on the other.
AB - Long QT syndrome (LQTS) is a myocardial repolarisation disorder caused by cardiac ion channelopathy and one of its common presentations is recurrent syncope. This reduced repolarisation reserve in LQTS can be unmasked by perioperative factors like electrolyte imbalance, drugs, hypothermia and changes in cardiac autonomic tone. We report the anaesthetic management of left thoracoscopic sympathectomy in a 5-year-old child with LQTS and epicardial pacemaker in situ. It is very challenging to isolate the lung on one hand and prevent the predisposition to torsadogenic potential on the other.
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U2 - 10.4103/ija.IJA_180_19
DO - 10.4103/ija.IJA_180_19
M3 - Article
AN - SCOPUS:85073686683
SN - 0019-5049
VL - 63
SP - 847
EP - 850
JO - Indian Journal of Anaesthesia
JF - Indian Journal of Anaesthesia
IS - 10
ER -