Successful Management of a Patient With X-Linked Myotubular Myopathy for Scoliosis Surgery and Previous Cardiac Arrest After Prone Positioning: A Case Report
| Autor: | Devon Flaherty, Jonathan S. Gal, Baron S. Lonner |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Supine position business.industry medicine.medical_treatment General Medicine medicine.disease Inferior vena cava X-linked myotubular myopathy Hypotonia Surgery Prone position Pectus excavatum medicine.vein Spinal fusion mental disorders cardiovascular system medicine Intravascular volume status medicine.symptom business |
| Zdroj: | AA practice. 10(12) |
| ISSN: | 2575-3126 |
| Popis: | A 15-year-old boy with X-linked myotubular myopathy associated with severe hypotonia and pectus excavatum presented for posterior spinal fusion of T2-sacrum because of rest pain and severe progressive neuromuscular scoliosis. Previously, he experienced 2 separate instances of cardiac arrest after prone positioning under general anesthesia. A preoperative computed topography angiogram in the supine and prone positions revealed inferior vena cava and right ventricular outflow tract obstruction on prone positioning. Successful positioning and posterior spinal fusion occurred by staging the procedure, correction of volume status, early use of vasoactive and inotropic agents, and oblique prone positioning. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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