Acute life-threatening arrhythmias caused by severe hyperkalemia after induction of anesthesia in an infant with methylmalonic acidemia

Pei Wen Chao, Wen Kuei Chang, Wen I. Lai, Chinsu Liu, Kwok Hon Chan, Cheng Ming Tsao

研究成果: 雜誌貢獻文章

9 引文 斯高帕斯(Scopus)

摘要

Methylmalonic acidemia (MMA) is a very rare genetic disease of metabolism that progressively leads to neurological and renal sequelae. This report describes an unusual case of a patient with MMA who developed severe hyperkalemia and severe dysrhythmia during anesthesia. A 13-month-old male infant with MMA underwent urgent insertion of a port-a-cath under general anesthesia. A life-threatening arrhythmia suddenly occurred, with severe hyperkalemia (up to 7.4 mmol/L), immediately following induction of anesthesia. Emergent resuscitation was successfully carried out, with a complete neurological recovery after 7 days after surgery. Although MMA is a rare complication, the possibility of severe hyperkalemia should be considered in the differential diagnosis of patients with MMA presenting with wide QRS complex tachycardia. The management and intraoperative complications of this disorder are reported here, and the available literature is reviewed.
原文英語
頁(從 - 到)243-245
頁數3
期刊Journal of the Chinese Medical Association
75
發行號5
DOIs
出版狀態已發佈 - 五月 1 2012
對外發佈Yes

ASJC Scopus subject areas

  • Medicine(all)

指紋 深入研究「Acute life-threatening arrhythmias caused by severe hyperkalemia after induction of anesthesia in an infant with methylmalonic acidemia」主題。共同形成了獨特的指紋。

  • 引用此