[Repeated coronary artery spasm under general anesthesia].
A 52-year-old man without history of angina pectoris underwent emergent abdominal surgery for acute abdomen. General anesthesia was maintained with isoflurane, nitrous oxide and fentanyl. The depth of anesthesia during surgery was considered adequate for the stimuli, but the patient developed ECG abnormality repeatedly finally followed by short run. After anesthesia, we re-examined the recorded ECG and coronary spasm was strongly suspected. Fatal arrhythmia might be avoidable if the prior abnormality in ECG is properly assessed.
Matsuura
Tadashi
T
Department of Anesthesiology, National Defense Medical College, Tokorozawa 359-8513.
Matsuo
Youko
Y
Satomoto
Makiko
M
Adachi
Yushi
Y
Higuchi
Hideyuki
H
Satoh
Tetsuo
T
D000006:Abdomen, Acute / Q000601:surgery; D000768:Anesthesia, General; D003329:Coronary Vasospasm / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence