CASE REPORT   

Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2021 September;180(9):503-5

DOI: 10.23736/S0393-3660.20.04487-3

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Malignant hyperthermia management in cardiac surgery

Michael E. PONTIOUS ¹, Curt TRIBBLE ², Devangi PATEL ³, Tera CUSHMAN ³, Castigliano M. BHAMIDIPATI ⁴ ✉

¹ School of Medicine, Oregon Health and Science University, Portland, OR, USA; ² Division of Cardiothoracic Surgery, Department of Surgery, University of Virginia, Charlottesville, VA, USA; ³ Department of Anesthesiology and Perioperative Medicine, OHSU Anesthesiology and Perioperative Medicine Clinic, Oregon Health and Science University, Portland, OR, USA; ⁴ Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Science University, Portland, OR, USA

A 57-year-old with a history of malignant hyperthermia (MH) was admitted following one-month history of unstable angina and found to have inferior wall ST-elevation myocardial infarction. Coronary angiography showed severe multi-vessel coronary artery disease with the culprit being a mid-right coronary lesion. Following preoperative multidisciplinary planning, the patient underwent three-vessel coronary artery bypass grafting. Her postoperative course was uneventful, and outpatient management was routine. Judicious periprocedural management of patients with a history of MH is important for successful cardiac surgical outcomes.

KEY WORDS: Malignant hyperthermia; Cardiac surgical procedures; Treatment outcome