Cardiac anaesthesia in a patient with myotonic dystrophy.
We describe a patient with myotonic dystrophy who required open-heart surgery for an atrial septal defect. He also had a sick sinus syndrome and an abnormal myocardium on histological examination. Anaesthesia using fentanyl, droperidol, nitrous oxide and a low concentration of enflurane was uneventful. Atelectasis of the left lung developed on the first postoperative day after removal of the tracheal tube. This was successfully treated by fibreoptic bronchoscopy.
Tanaka
M
M
Department of Anesthesiology, Kyoto Prefectural University of Medicine, Japan.
Tanaka
Y
Y
D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D002315:Cardiopulmonary Bypass / Q000379:methods*; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D009223:Myotonic Dystrophy / Q000150:complications* / Q000000981:diagnostic imaging; D010138:Pacemaker, Artificial; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging; D011859:Radiography; D012804:Sick Sinus Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy