Korean J Anesthesiol.  2010 Dec;59(Suppl):S137-S140. 10.4097/kjae.2010.59.S.S137.

Temporary cardiac arrest in patient under robotically assisted total thyroidectomy causing carotid sinus hypersensitivity: A case report

• Chung HS
• Park CM
• Kim ES
• Ghil BG
• Park CS

• KMID: 2237372
• DOI: http://doi.org/10.4097/kjae.2010.59.S.S137

Abstract

Carotid sinus hypersensitivity (CSH) is an exaggerated response to carotid sinus baroreceptor stimulation. Bradycardia, hypotension, and syncope are common manifestations of CSH. A 31-year-old female patient was scheduled for a robotically assisted endoscopic total thyroidectomy. No problems occurred during anesthetic induction. Sudden cardiac arrest occurred near dissection of the diseased thyroid. However, while atropine was administered, the patient soon recovered to normal sinus rhythm. Subsequent bradycardia or hypotension was not followed until the end of surgery.

Keyword

Cardiac arrest; Carotid sinus hypersensitivity; Robot; Thyroidectomy

MeSH Terms

Adult
Atropine
Bradycardia
Carotid Sinus
Death, Sudden, Cardiac
Female
Heart Arrest
Humans
Hypersensitivity
Hypotension
Pressoreceptors
Syncope
Thyroid Gland
Thyroidectomy
Atropine