Complete atrioventricular block under epidural ropivacaine infusion in a patient with first-degree atrioventricular block and myasthenia gravis: a case report

被引：1

作者：

Hashimoto, Takuma ^{[1
]}

Kuratomi, Shinobu ^{[1
]}

Yoshimura, Hayashi ^{[1
]}

机构：

[1] Saiseikai Fukuoka Gen Hosp, Dept Anesthesiol, Chuo Ku, Tenjin 1-3-46, Fukuoka, Fukuoka 8100001, Japan

来源：

JA CLINICAL REPORTS | 2022年 / 8卷 / 01期

关键词：

Epidural anesthesia; Arrhythmia; Complete atrioventricular block; Myasthenia gravis;

D O I：

10.1186/s40981-022-00524-5

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Background First-degree atrioventricular block (AVB) may lead to complete AVB. Herein, we present a case of a complete AVB under thoracic epidural catheter infusion of ropivacaine with fentanyl in a patient with first-degree AVB and myasthenia gravis. Case presentation A 74-year-old woman with first-degree AVB underwent thymectomy for myasthenia gravis. Continuous thoracic epidural catheter infusion of 0.2% ropivacaine with fentanyl was initiated at 15 min before the end of the surgery. At 9 h postoperatively, the electrocardiogram showed a 10-s-long pause due to complete AVB. Thus, a temporary pacemaker was implanted, and at 19 h postoperatively on postoperative day 1, cardiac pacing was initiated and lasted approximately 30 s. After catheter removal, she had no further episodes of complete AVB. Conclusion First-degree AVB may lead to complete AVB under the influence of thoracic epidural infusion of ropivacaine in patients with myasthenia gravis.

引用

页数：4

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