Recurrent syncope in a child and video assisted thoracoscopic surgery - The long and short of it

Manpreet Kaur; Nirupa Ramakumar; Sangam Yadav; Rajeshwari Subramaniam

doi:10.4103/ija.IJA_180_19

Recurrent syncope in a child and video assisted thoracoscopic surgery - The long and short of it

Indian J Anaesth. 2019 Oct;63(10):847-850. doi: 10.4103/ija.IJA_180_19. Epub 2019 Oct 10.

Authors

Manpreet Kaur¹, Nirupa Ramakumar¹, Sangam Yadav¹, Rajeshwari Subramaniam¹

Affiliation

¹ Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

Abstract

Long QT syndrome (LQTS) is a myocardial repolarisation disorder caused by cardiac ion channelopathy and one of its common presentations is recurrent syncope. This reduced repolarisation reserve in LQTS can be unmasked by perioperative factors like electrolyte imbalance, drugs, hypothermia and changes in cardiac autonomic tone. We report the anaesthetic management of left thoracoscopic sympathectomy in a 5-year-old child with LQTS and epicardial pacemaker in situ. It is very challenging to isolate the lung on one hand and prevent the predisposition to torsadogenic potential on the other.

Keywords: Long QT; thoracoscopic left sympathectomy; uninvent.

Publication types

Case Reports