Coronary artery spasm as the probable cause of cardiac arrest immediately after the induction of spinal anesthesia: A case report.
10.17085/apm.2018.13.2.180
- Author:
Jung A KIM
1
;
Chan Jong CHUNG
;
Kyoung Sub YOON
;
Jeong In HONG
;
Seung Cheol LEE
;
Sang Yoong PARK
;
So Ron CHOI
;
Dong Hyun LEE
;
Jin Heon JEONG
Author Information
1. Department of Anesthesiology and Pain Medicine, Dong-A University Hospital, Busan, Korea. choisr@dau.ac.kr
- Publication Type:Case Report
- Keywords:
Conduction anesthesia;
Coronary vasospasm;
Heart arrest;
Spinal anesthesia
- MeSH:
Aged;
Anesthesia, Conduction;
Anesthesia, Spinal*;
Cardiopulmonary Resuscitation;
Cefotetan;
Coronary Angiography;
Coronary Artery Disease;
Coronary Vasospasm;
Coronary Vessels*;
Dyspnea;
Electrocardiography;
Heart Arrest*;
Hemodynamics;
Humans;
Skin Tests;
Spasm*;
Thorax;
Urinary Incontinence;
Urinary Sphincter, Artificial
- From:Anesthesia and Pain Medicine
2018;13(2):180-183
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 72-year-old man underwent spinal anesthesia for artificial urinary sphincter placement for urinary incontinence. After the block level was confirmed below T6, 1 g of cefotetan, which had not shown any reaction on skin test, was administered as a prophylactic antibiotic. The patient began complaining of chest discomfort and dyspnea shortly after injection. ST elevation appeared on the electrocardiogram and the patient's pulse could not be palpated. Accordingly, cardiopulmonary resuscitation was performed for 5 minutes; the patient recovered spontaneous circulation. The patient was diagnosed as experienced coronary artery spasm by coronary angiography with spasm test. Because coronary artery spasm can also develop in patients with no history of coronary artery disease and under spinal anesthesia, careful observation, suspicion of coronary artery spasm and prompt response to hemodynamic and electrocardiogram changes are necessary.
