Ventricular Fibrillation and Myocardial Depression Following Pulmonary Valve Replacement in Tetralogy of Fallot With an Intramural Coronary Artery and Coronary Artery Compression by Chest Tube. World J Pediatr Congenit Heart Surg 2020 Jul;11(4):NP77-NP79
Date
09/22/2017Pubmed ID
28933244DOI
10.1177/2150135117716421Scopus ID
2-s2.0-85100774271 (requires institutional sign-in at Scopus site) 1 CitationAbstract
We describe the case of a 10-year-old male with a history of repaired Tetralogy of Fallot and known intramural right coronary artery (RCA) who presented for bioprosthetic pulmonary valve replacement. The operation was complicated by postoperative ventricular fibrillation arrest. Selective coronary angiography revealed external compression of the mid-RCA by a mediastinal chest tube that improved immediately upon removal of the tube. Ultimately, the patient required additional unroofing of the intramural coronary for full recovery. This case highlights the need to thoroughly investigate malignant ventricular dysrhythmias following pediatric cardiac surgery and to rule out coronary insufficiency, which may be due to both extrinsic and/or intrinsic lesions.
Author List
Ahmed M, Thompson NE, Foerster SR, Frommelt MA, Mitchell ME, Scott JPAuthors
Susan Foerster MD Professor in the Pediatrics department at Medical College of WisconsinMichele Ann Frommelt MD Adjunct Professor in the Pediatrics department at Medical College of Wisconsin
Michael Edward Mitchell MD Chief, Professor in the Surgery department at Medical College of Wisconsin
John P. Scott MD Professor in the Anesthesiology department at Medical College of Wisconsin
Nathan Thompson MD Associate Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Cardiac Surgical ProceduresChest Tubes
Child
Coronary Angiography
Coronary Occlusion
Coronary Vessels
Electrocardiography
Humans
Male
Postoperative Complications
Pulmonary Valve
Tetralogy of Fallot
Ventricular Fibrillation
