Cardiac arrest during laparoscopic Roux-en-Y gastric bypass in a bariatric patient with drug-associated long QT syndrome.
Obese patients often may demonstrate an acquired prolonged QTc interval due to alteration in cardiac physiology, electrolyte disturbances, and/or medication use. Intraoperatively, bariatric surgery may further contribute additional cardiac stressors to obese patients with long QT syndrome (LQTS). We present a case report of an obese woman with LQTS who underwent laparoscopic Roux-en-Y gastric bypass surgery and sustained an intraoperative cardiac arrest. We discuss identification, prevention, and treatment strategies for LQTS in the bariatric surgery patient.
Woodard
Gavitt
G
Stanford University Medical Center, 300 Pasteur Drive, H3680, Stanford, CA 94305, USA.
Brodsky
Jay B
JB
Morton
John M
JM
D000929:Antidepressive Agents, Tricyclic / Q000009:adverse effects*; D003863:Depression / Q000150:complications / Q000188:drug therapy*; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy; D006801:Humans; D010535:Laparoscopy; D008133:Long QT Syndrome / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery
D000929:Antidepressive Agents, Tricyclic
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