Key result
A 59-year-old woman with unrecognized arrhythmogenic right ventricular dysplasia experienced fatal cardiovascular collapse unresponsive to resuscitation during general anesthesia.
Case Report (n=1)
Undiagnosed arrhythmogenic right ventricular dysplasia can lead to fatal cardiovascular collapse during general anesthesia even in the absence of arrhythmias.
Alerts to fatal anesthesia risk in undiagnosed ARVD; leaves open whether screening improves outcomes.
Arrhythmogenic right ventricular dysplasia is an inherited disease causing fatty replacement of heart tissue. This disease often presents as T-wave inversion in the anterior leads of the electrocardiogram (ECG) with life-threatening ventricular arrhythmias. In older patients, progressive right and left ventricular failure can develop. This is a case report of postoperative death occurring in a 59-yr-old woman with undiagnosed arrhythmogenic right ventricular dysplasia after hepatic cystectomy. The patient had T-wave inversion in the inferior ECG leads and no history of arrhythmias. During general anesthesia, cardiovascular collapse occurred in the absence of arrhythmias that was unresponsive to resuscitation.
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Toh et al. (2004) conducted a case report in Arrhythmogenic right ventricular dysplasia (n=1). General anesthesia for hepatic cystectomy was evaluated on Cardiovascular collapse and death. A 59-year-old woman with unrecognized arrhythmogenic right ventricular dysplasia experienced fatal cardiovascular collapse unresponsive to resuscitation during general anesthesia.
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