Correction of tetralogy of Fallot accompanied by malignant hyperthermia. Case report.
A 5-year-old girl susceptible to malignant hyperthermia underwent total repair of tetralogy of Fallot. The initial operation was canceled because of abrupt hyperthermia and metabolic acidosis of unknown cause. Dantrolene was given orally as preoperative treatment and administered intermittently during surgery. Postoperative hyperthermic crisis was successfully treated with intravenous dantrolene combined with surface cooling, gastric tube irrigation with cold saline, and alcohol vaporization.
Second Department of Surgery, Teikyo University Hospital, Tokyo, Japan.
T
T
Akasaka
Y
Y
Ogura
J
J
Anbe
H
H
Nakajima
M
M
Ozeki
T
T
Mitsuishi
H
H
Kato
Y
Y
Yanagawa
D002675:Child, Preschool; D017679:Cryotherapy; D003620:Dantrolene / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008305:Malignant Hyperthermia / Q000628:therapy*; D011182:Postoperative Care; D011292:Premedication; D013771:Tetralogy of Fallot / Q000601:surgery*; D007507:Therapeutic Irrigation
D003620:Dantrolene