title: Cardiac arrest at induction of anesthesia in a child with undiagnosed right-ventricular dependent coronary circulation: a case report.
abstract: Pediatric perioperative cardiac arrest occurs in 1.4 per 10,000 anesthetics, with an overall mortality rate of 26%. The etiology of the arrest is identifiable in the majority of these patients. We report the case of a child with a complex congenital heart defect, who sustained a cardiac arrest at induction of anesthesia, secondary to right-ventricular dependent coronary circulation. We discuss the incidence, risks, anesthetic management and outcomes of pediatric cardiac arrest in the perioperative period especially in patients with complex congenital heart disease.
authors.affiliation: Department of Cardiothoracic Anesthesia, Cleveland Clinic Foundation, Cleveland, OH 44195, USA. tabrownmd@adelphia.net
authors.forename: Todd A
authors.initials: TA
authors.lastname: Brown
authors.forename: Mossad
authors.initials: M
authors.lastname: Emad
authors.forename: Motta
authors.initials: M
authors.lastname: Pablo
mesh_terms: D000758:Anesthesia / Q000009:adverse effects*; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002675:Child, Preschool; D006323:Heart Arrest / Q000209:etiology*; D006330:Heart Defects, Congenital / Q000150:complications*; D006801:Humans; D008297:Male; D018633:Pulmonary Atresia / Q000150:complications*