Sudden cardiovascular collapse caused by severe anaphylaxis after cisatracurium use: a case report.
10.4097/kjae.2014.67.6.412
- Author:
Syn Hae YOON
1
;
Ji Yeon BANG
;
Hyungseok SEO
;
Jun Gol SONG
Author Information
1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. seohyungseok@gmail.com
- Publication Type:Case Report
- Keywords:
Anaphylaxis;
Cisatracurium;
Kounis syndrome;
Myocardial infarction
- MeSH:
Acute Coronary Syndrome;
Anaphylaxis*;
Coronary Artery Disease;
Coronary Vessels;
Heart Arrest;
Humans;
Hypersensitivity;
Myocardial Infarction;
Rupture;
Spasm
- From:Korean Journal of Anesthesiology
2014;67(6):412-415
- CountryRepublic of Korea
- Language:English
-
Abstract:
Kounis syndrome is an acute coronary syndrome concurrently occurs with allergic or hypersensitivity reactions. In patient with this syndrome, inflammatory mediators released due to an allergic reaction implicate to induce coronary artery spasm and atheromatous plaque rupture. We describe a patient with coronary artery disease who developed acute perioperative myocardial infarction leading to cardiac arrest after the anaphylactic reaction to cisatracurium, which led to a suspicion of Kounis syndrome. Anesthesiologists should be aware that anaphylaxis or allergic reactions can progress to acute coronary syndrome, thereby significantly change the course of the disease.
