[Arrhythmia during extraction of the third molars under intravenous sedation. A case report of postoperative tetralogy of Fallot].
Extraction of the third molars [formula: see text) was done under local anesthesia with intravenous sedation using diazepam in a 14 year-old girl. She had the history of radical operation for tetralogy of Fallot at 4 years of age. During extraction procedure, this patient showed many multifocal premature ventricular contraction in ECG. These arrhythmias were able to control with intravenous lidocaine. In this case, the preoperative evaluation of her cardiac function was not pertinent possibly due to the judgment by her ability of physical exercise in the past history. We reflect that inadequate preoperative evaluation of cardiac function may result in inadequate management.
Himuro
H
H
Imai
F
F
Satoh
K
K
Aono
K
K
D000293:Adolescent; D000766:Anesthesia, Dental; D000771:Anesthesia, Intravenous; D005117:Cardiac Complexes, Premature / Q000188:drug therapy*; D016292:Procedural Sedation; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008012:Lidocaine / Q000627:therapeutic use; D013771:Tetralogy of Fallot / Q000150:complications; D014081:Tooth Extraction
D008012:Lidocaine