Yeungnam Univ J Med.  2009 Dec;26(2):148-155. 10.12701/yujm.2009.26.2.148.

Anesthetic Experience for Trans-Sphenoidal Surgery of Pituitary Adenoma on a Patient with Brugada Syndrome: A Case Report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Korea. sykim@med.yu.ac.kr

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.

Keyword

Brugada syndrome; General anesthesia; Ventricular fibrillation

MeSH Terms

Anesthesia
Anesthesia, General
Anesthetics
Asia, Southeastern
Brugada Syndrome
Bundle-Branch Block
Death, Sudden, Cardiac
Electrocardiography
Heart Diseases
Humans
Inheritance Patterns
Male
Middle Aged
Pituitary Neoplasms
Ventricular Fibrillation
Anesthetics
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