Tomás-Reyna C, Rodríguez-Pérez MV, Palacios-Chavarría A, Cruz-Villaseñor JA, Aguilar-Maldonado MD

Language: Spanish
References: 4
Page: 109-112
PDF size: 237.44 Kb.

ABSTRACT

Background: Mitral valve prolapse is an inherited connective tissue disorder with myxomatous proliferation that causes thickening and redundancy of the mitral valve. Atrial and ventricular arrhythmias are common. Methods: We report the case of a female patient of 23 years scheduled for endoscopic nasal sinus surgery, finding during electrocardiogram monitoring presence of sinus rhythm with ventricular extrasystoles over ten in a minute. Results: We cancel the surgery and requested interconsultation with the cardiology department who performed echocardiography finding prolapse of the anterior mitral valve and mild tricuspid regurgitation. They prescribed atenolol and surgery is rescheduled. Conclusions:It is important that the anesthesiologist is prepared to resolve complications, especially if it is a surgery where symphatomimetic drugs are used.

REFERENCES

1. Johnston W. Anesthesia for patients with valvular heart disease. The American Society of Anesthesiologists, ASA Refresher Courses in Anesthesiology. 2004;32:105-119.

2. Moritz HA, Parnass SW, Mitchell JS. Ventricular fibrillation during anesthetic induction in a child with undiagnosed mitral valve propapse. Anesth Analg. 1997;85:59-61

3. BoatwrightP, Malsch E. Arrhythmias under general anesthesia in a patient with undiagnosed mitral valve prolapse: Case report. Anesthesia Progress. 1982;29:141–143.

4. Nair S, Collins M, Hung P, Rees G, Close D, Wormald PJ. The effect of beta blocker premedication on the surgical field during endoscopic sinus surgery. Laryngoscope. 2004;114(6):1042-1046.