Cardiac arrest as a major complication of bilateral cervico-dorsal sympathectomy.
Severe palmar and/or axillary hyperhidrosis can be socially and psychologically very disturbing. We present a case of a patient who suffered from a 43 s asystolic cardiac arrest the night following a second contralateral thoracoscopic T(2)-T(3) sympathectomy for severe axillary and truncal hyperhidrosis. The cardiovascular effects of cervico-dorsal sympathectomy will be reviewed. Evaluation required to prevent such a serious cardiac complication will also be discussed.
O'Connor
Kim
K
Department of Cardiology, Institut universitaire de cardiologie et de pneumologie, Hôpital Laval, Québec, Canada. kim.oconnor.1@ulaval.ca
Molin
Franck
F
Poirier
Paul
P
Vaillancourt
Rosaire
R
D002304:Cardiac Pacing, Artificial; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D018570:Risk Assessment; D012720:Severity of Illness Index; D013562:Sympathectomy / Q000009:adverse effects*; D013904:Thoracic Vertebrae; D013906:Thoracoscopy / Q000009:adverse effects*; D016896:Treatment Outcome