Unexpected ST segment changes in children - a case report
| العنوان: | Unexpected ST segment changes in children - a case report |
|---|---|
| المؤلفون: | Julie Niezgoda, Andrej Alfirevic, Emad Mossad |
| المصدر: | Pediatric Anesthesia. 15:63-67 |
| بيانات النشر: | Wiley, 2005. |
| سنة النشر: | 2005 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, medicine.medical_treatment, Myocardial Ischemia, Anesthesia, General, Pulmonary Artery, Air embolism, Hypoxemia, Adenoidectomy, Arteriovenous Malformations, Postoperative Complications, Internal medicine, medicine, Humans, ST segment, Hypoxia, Intraoperative Complications, Pathological, Subclinical infection, business.industry, Electroencephalography, medicine.disease, Middle Ear Ventilation, Pulmonary Arteriovenous Fistula, Coronary arteries, Anesthesiology and Pain Medicine, medicine.anatomical_structure, Echocardiography, Pulmonary Veins, Child, Preschool, Anesthesia, Pediatrics, Perinatology and Child Health, Cardiology, medicine.symptom, business |
| الوصف: | In children, myocardial ischemic changes during anesthesia are a rare event unless there is underlying pathology. The patient in this case report was an apparently healthy child scheduled for adenoidectomy and bilateral tympanostomy. Occurrence of significant ST changes as well as intraoperative and postoperative hypoxemia required further diagnostic work-up. Postoperative echocardiographic findings were suspicious of intrapulmonary right to left shunting. The pulmonary arteriovenous fistula is probably the major pathophysiological factor for the development of hypoxemia and paradoxical air embolism especially during positive pressure ventilation in our patient. Unexpected ST segment changes might also occur in patients with anomalous origin of coronary arteries. Although diagnostic work-up was inconclusive, it is necessary to rule out any underlying pathological process. Further follow-up is also important in order to learn more about these disease states that often have subclinical, but potentially fatal presentation. |
| تدمد: | 1460-9592 1155-5645 |
| DOI: | 10.1111/j.1460-9592.2005.01352.x |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a23c14a64ed60a98f153561f39b53bef https://doi.org/10.1111/j.1460-9592.2005.01352.x |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....a23c14a64ed60a98f153561f39b53bef |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14609592 11555645 |
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| DOI: | 10.1111/j.1460-9592.2005.01352.x |