Korean J Anesthesiol.  2007 Apr;52(4):479-483. 10.4097/kjae.2007.52.4.479.

Cardiac Arrest during Endoscopic Thoracic Sympathicotomy with One Lung Ventilation under General Anesthesia : Two cases report

• Jung SW
• Park SW
• Kwon MI

• KMID: 1937581
• DOI: http://doi.org/10.4097/kjae.2007.52.4.479

Abstract

Primary hyperhidrosis has been associated with an increased activity of the sympathetic nervous system. Conventional nonsurgical therapies are inconvenient and only temporarily effective. Endoscopic thoracic sympathicotomy (ETS) is a minimal invasive procedure of thoracic sympathetic block and has been used successfully and safely in the treatment of primary palmar and axillary hyperhidrosis. Sympathicotomy results in an initial sympathovagal imbalance with a parasympathetic predominance, which is restored in a long-term basis. ETS is commonly performed to treat hyperhidrosis but there are some rare complications including cardiac arrest. In our hospital, we experienced 2 cases of patients who suffered from sudden cardiac arrest during right ETS, which was performed soon after left ETS. We're going to report these cases and consider about possible causes.

Keyword

cardiac arrest; hyperhidrosis; one lung ventilation; sympathicotomy

MeSH Terms

Anesthesia, General*
Death, Sudden, Cardiac
Heart Arrest*
Humans
Hyperhidrosis
One-Lung Ventilation*
Sympathetic Nervous System