Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Anesthetic Experience for Trans-Sphenoidal Surgery of Pituitary Adenoma on a Patient with Brugada Syndrome - A Case Report -

Brugada 증후군 환자의 경접형동 선종절제술을 위한 마취 경험

  • Heo, Min-Jung (Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University) ;
  • Kim, Sae-Yeon (Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University)
  • 허민정 (영남대학교 의과대학 마취통증의학교실) ;
  • 김세연 (영남대학교 의과대학 마취통증의학교실)
  • Published : 2009.12.30
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Abstract

Brugada syndrome is characterized by an ECG pattern of right bundle branch block and ST segment elevation in the right precordial leads ($V_1-V_3$) without structural heart disease. It is also characterized by sudden cardiac death that's caused by ventricular fibrillation. This is a familial syndrome with an autosomal dominant inheritance pattern and it may be considerably more common in Southeast Asia. Many factors during anesthesia can precipitate malignant dysrrhythmia in these patients, so careful choice of anesthetics is required. We experienced a case of Brugada syndrome in a 59-year-old male patient who was under general anesthesia for trans-sphenoidal surgery to treat a pituitary adenoma, and the patient was diagnosed as having Brugada syndrome without any untoward cardiovascular events.

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