title: An unexpected cause of cardiac arrest during laparoscopy in an infant with supravalvar aortic stenosis.
abstract: Patients with congenital supravalvar aortic stenosis (SVAS) with associated biventricular outflow tract obstruction and coronary artery abnormalities have a tenuous myocardial oxygen supply/demand relationship. They are at increased risk of acute myocardial ischemia and sudden death, especially during anesthesia. Furthermore, resuscitation during cardiac arrest is frequently unsuccessful. We report a case of perioperative cardiac arrest due to an unexpected cause in a 2 month old with SVAS during a laparoscopic Nissen fundoplication.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington, Seattle, WA 98105, USA. cornelius.groenewald@seattlechildrens.org
authors.forename: Cornelius B
authors.initials: CB
authors.lastname: Groenewald
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Latham
mesh_terms: D021921:Aortic Stenosis, Supravalvular / Q000151:congenital / Q000601:surgery*; D000077324:Crystalloid Solutions; D004837:Epinephrine / Q000627:therapeutic use; D018662:Fundoplication / Q000009:adverse effects* / Q000379:methods; D006323:Heart Arrest / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007223:Infant; D007552:Isotonic Solutions / Q000627:therapeutic use; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D010092:Oximetry / Q000379:methods; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects* / Q000379:methods; D012151:Resuscitation / Q000379:methods; D013566:Sympathomimetics / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D000077324:Crystalloid Solutions; D007552:Isotonic Solutions; D013566:Sympathomimetics; D004837:Epinephrine