Malignant hyperthermia: a dilemma for the cardiac surgeon.
Malignant hyperthermia is an inherited disease of skeletal muscle characterized by acute elevations of body temperature. The hyperthermic crisis is triggered by a variety of drugs and by volatile anesthetics or it may occur in response to stress. In this report the authors describe the case of a patient with malignant hyperthermia who underwent emergency aortocoronary bypass surgery for unstable angina. They outline the anesthetic and surgical management for individuals susceptible to hyperthermic crises who require open-heart surgery.
D000368:Aged; D002118:Calcium / Q000378:metabolism; D006348:Cardiac Surgical Procedures; D001026:Coronary Artery Bypass; D003620:Dantrolene / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008305:Malignant Hyperthermia / Q000188:drug therapy / Q000209:etiology / Q000378:metabolism; D011183:Postoperative Complications / Q000188:drug therapy
D003620:Dantrolene; D002118:Calcium