Cardiac arrest due to coronary vasospasm after sugammadex administration-a case

被引：7

作者：

Boo, Ki Yung ^{[1
]}

Park, Sang Hyun ^{[2
]}

Park, Sun Kyung ^{[2
]}

Na, Changrock ^{[3
]}

Kim, Hyun Jung ^{[2
,4
]}

机构：

[1] Jeju Natl Univ Hosp, Dept Cardiol, Jeju, South Korea

[2] Jeju Natl Univ, Coll Med, Dept Anesthesiol & Pain Med, Jeju, South Korea

[3] Jeju Natl Univ Hosp, Dept Anesthesiol & Pain Med, Jeju, South Korea

[4] Jeju Natl Univ, Coll Med, Dept Anesthesiol & Pain Med, 15 Aran 13 Gil, Jeju 63241, South Korea

来源：

KOREAN JOURNAL OF ANESTHESIOLOGY | 2023年 / 76卷 / 01期

关键词：

Anesthesia; Cardiopulmonary resuscitation; Coronary angiography; Coronary vasospasm; Heart arrest; Sugammadex;

D O I：

10.4097/kja.22335

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Background: Sugammadex is a widely used medication for the reversal of aminosteroid neuromuscular blockades. Although sugammadex is generally regarded to be safe, con-cerns about the risk of serious complications have emerged.Case: A 57-year-old man without a history of coronary disease was scheduled for general anesthesia to undergo cardiac radiofrequency catheter ablation due to symptomatic per-sistent atrial fibrillation and flutter. At the end of the procedure, he was given 400 mg of sugammadex. A little later, the electrocardiogram showed a sudden ST elevation on the in-ferior leads, followed by cardiac arrest. The urgent coronary angiography demonstrated total collapse of the right coronary artery. After two injections of intra-coronary nitroglyc-erin, the vasospasm of the right coronary artery was completely resolved. The patient re-covered without sequelae and was discharged on postoperative day 5.Conclusions: Clinicians should pay close attention to the potential risk of coronary vaso-spasm, even cardiac arrest, after sugammadex administration.

引用

页码：72 / 76

页数：5

共 15 条

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