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KMID : 1155520070020030137
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Anesthesia and Pain Medicine
2007 Volume.2 No. 3 p.137 ~ p.139
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Cardiac Arrest during the Rotation of a Stainless Steel Bar in a Patient undergoing the Pectus Excavatum Repair : A case report
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Shin On-Sub
Ahn Ki-Ryang
Kim Chun-Sook
Kang Kyu-Sik
Yoo Sie-Hyeon
Chung Jin-Hun
Chung Ji-Won
Lee Seung-Jin
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Abstract
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A 6-year-old-man with a severe pectus excavatum and marfanoid feature was admitted for the correction of pectus excavatum. Nuss procedure was recently introduced, because of its excellent effect from the cosmetic point of view. This method is that convex steel bar is inserted under the sternum through small bilateral thoracic incisions, and when it is in position, the bar is turn over, thereby correction the deformity. We experienced a case of the cardiac arrest during the rotation of a stainless steel bar. After the injection of atropine, epinephrine and the closed cardiac massage, sinus rhythm was restored. A vasovagal reflex due to the operation could be considered the possible etiology.
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KEYWORD
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cardiac arrest, Nuss method, pectus excavatum, vasovagal reflex
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