Korean J Otorhinolaryngol-Head Neck Surg.  2009 Jan;52(1):98-101. 10.3342/kjorl-hns.2009.52.1.98.

Ventricular Tachycardia due to Submucosal Epinephrine Injection during Septoplasty

• Lee DC
• Chon JY
• Lee HK
• Kim SW

• KMID: 1978437
• DOI: http://doi.org/10.3342/kjorl-hns.2009.52.1.98

Abstract

Local infiltration of dilute solutions of epinephrine is widely used for the purpose of hemostasis during septal surgery. However, infiltrated epinephrine often make several side effects such as palpitation, hypertension, or arrhythmia. Also, it may be possible to experience the catastrophic events such as intracranial hemorrhage, pulmonary edema, and cardiac arrest when we use overdose of epinephrine. We experienced ventricular tachycardia in a 36-year-old male with no significant medical history, after submucosal infiltration of epinephrine with appropriate dose during septoplasty. Intraoperative cardiopulmonary resuscitation by external chest compression and direct current cardioversion was successful. We thoroughly evaluated the patient and proved the diagnosis of variant angina pectoris using coronary angiography.

Keyword

Epinephrine; Variant angina pectoris; Ventricular tachycardia

MeSH Terms

Adult
Angina Pectoris, Variant
Arrhythmias, Cardiac
Cardiopulmonary Resuscitation
Coronary Angiography
Electric Countershock
Epinephrine
Heart Arrest
Hemostasis
Humans
Hypertension
Intracranial Hemorrhages
Male
Pulmonary Edema
Tachycardia, Ventricular
Thorax
Epinephrine