title: Rare postoperative delayed malignant hyperthermia after off-pump coronary bypass surgery and brief review of literature.
abstract: Postoperative malignant hyperthermia (MH) is a very rare phenomena. It is generally observed within less than an hour after discontinuation of the anesthetic trigger. Present case describes rare delayed postoperative presentation of MH after off-pump coronary bypass surgery. Prompt recognition and immediate treatment with dantrolene can effectively treat the fatal syndrome. Family education and genetic counseling should be encouraged.
authors.affiliation: Department of Cardiac Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Monish S
authors.initials: MS
authors.lastname: Raut
authors.forename: Sibashankar
authors.initials: S
authors.lastname: Kar
authors.forename: Arun
authors.initials: A
authors.lastname: Maheshwari
authors.forename: Ganesh
authors.initials: G
authors.lastname: Shivnani
authors.forename: Arun
authors.initials: A
authors.lastname: Kumar
authors.forename: Elvin
authors.initials: E
authors.lastname: Daniel
authors.forename: Sandeep
authors.initials: S
authors.lastname: Joshi
authors.forename: Amit
authors.initials: A
authors.lastname: Motihar
authors.forename: Priyanka
authors.initials: P
authors.lastname: Gupta
mesh_terms: D000368:Aged; D000768:Anesthesia, General / Q000009:adverse effects; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000601:surgery; D003620:Dantrolene / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008305:Malignant Hyperthermia / Q000209:etiology* / Q000628:therapy*; D009125:Muscle Relaxants, Central / Q000627:therapeutic use; D011183:Postoperative Complications / Q000628:therapy*
chemical_list: D009125:Muscle Relaxants, Central; D003620:Dantrolene