Brugada syndrome manifested in postoperative period: A case report.
- Author:
Ju Hyun LEE
1
;
Young Jin RO
;
Hong Seuk YANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. hsyang@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Brugada syndrome;
General anesthesia;
Genetic analysis
- MeSH:
Anesthesia, General;
Anesthesia, Spinal;
Biopsy;
Brugada Syndrome;
Curettage;
Electrocardiography;
Female;
Femur;
Flecainide;
Heart Diseases;
Humans;
Postoperative Period;
Thorax
- From:Anesthesia and Pain Medicine
2013;8(3):203-207
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe here a woman with Brugada syndrome revealed in postoperative period. A 48-year-old woman who underwent open biopsy of a tumor on her left distal femur under general anesthesia experienced post-surgical palpitations and chest discomfort. On the following day, an electrocardiogram showed coved type ST elevation with T inversion on V1 and V2 without any structural heart disease. After we confirmed it by a flecainide provocation test, the patient was diagnosed with Brugada syndrome. Genetic analysis showed c.3578G > A (p.Arg1193Gln) variant in the SCN5A gene. She underwent successful curettage and internal fixation under a single-shot spinal anesthesia without any adverse events.
