Acute myocarditis-related complete atrioventricular block---an accidental finding in an acute appendicitis patient.
We report a 20-year-old male patient with preoperatively undiagnosed myocarditis, who received general anesthesia for laparoscopic appendectomy. Because of arrhythmia, a cardiologist was consulted postoperatively. The 12-lead electrocardiogram showed complete atrioventricular block and the echocardiogram showed global hypokinesia of the left ventricle with impaired contractility, a left ejection fraction of 37%, and a dilated right heart. Subsequently, a permanent pacemaker was implanted and the patient was discharged from hospital without any complications.
Kang
Ting-Jui
TJ
Department of Anesthesiology, Far-Eastern Memorial Hospital, Taipei, Taiwan.
Wu
Chia-Chan
CC
Lu
Cheng-Wei
CW
Jean
Wei-Horng
WH
Yang
Mei-Hui
MH
Lin
Tzu-Yu
TY
D000208:Acute Disease; D001062:Appendectomy; D001064:Appendicitis / Q000150:complications*; D054537:Atrioventricular Block / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D033162:Incidental Findings; D010535:Laparoscopy; D008297:Male; D009205:Myocarditis / Q000150:complications*; D055815:Young Adult