Korean J Anesthesiol.  2005 Aug;49(2):251-255. 10.4097/kjae.2005.49.2.251.

One-Lung Anesthetic Management of a Patient with Brugada Syndrome: A case report

• Bak SH
• Kim HG
• Lee JH
• Lee SG
• Ban JS
• Min BW

• KMID: 2092040
• DOI: http://doi.org/10.4097/kjae.2005.49.2.251

Abstract

Brugada syndrome is an arrhythmogenic disease that is manifested by specific patterns of right bundle branch block with ST elevation in right precordial (V1-V3) ECG leads causing ventricular fibrillation, leads to a sudden death without organic heart problems. It is an incomplete penetrating autosomal dominant disease that is due to mutation in SCN5A gene, coding for Na+ channel of cardiac muscles. This syndrome is more common and may be endemic in southeast Asia. Although it is a highly risky disease, it's preventive treatment for arrhythmia has not been established yet. We experienced a case of 28 year old man who had wedge resection of lung because of spontaneous pneumothorax under general anesthesia and who was suspected Brugada syndrome based on specific ECG patterns and a family history of his father's sudden death after syncope.

Keyword

arrhythmia; Brugada syndrome; cardiac arrest; sudden death

MeSH Terms

Adult
Anesthesia, General
Arrhythmias, Cardiac
Asia, Southeastern
Brugada Syndrome*
Bundle-Branch Block
Clinical Coding
Death, Sudden
Electrocardiography
Heart
Heart Arrest
Humans
Lung
Myocardium
Pneumothorax
Syncope
Ventricular Fibrillation