Intraoperative cardiovascular collapse in an infant with Arnold-Chiari malformation

Makoto Tanaka, Izumi Harukuni, Hiroshi Naito

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

We report a case of an infant with a diagnosis of Arnold-Chiari malformation who developed acute cardiovascular collapse during posterior fossa decompression surgery. Haemodynamic manifestations were hypotension and bigeminy characterized by resistance to conventional resuscitation. The aetiology was considered to be due to brainstem compression exerted to control surgical bleeding from an inadvertently lacerated sinus at an unusual site, the rim of the foramen magnum. Restoration of blood pressure and disappearance of arrhythmia immediately followed removal of the brainstem compression rather than volume or pharmacological resuscitation.

Original languageEnglish (US)
Pages (from-to)163-166
Number of pages4
JournalPaediatric Anaesthesia
Volume7
Issue number2
StatePublished - 1997
Externally publishedYes

Fingerprint

Arnold-Chiari Malformation
Resuscitation
Brain Stem
Foramen Magnum
Decompression
Hypotension
Cardiac Arrhythmias
Hemodynamics
Pharmacology
Hemorrhage
Blood Pressure

Keywords

  • Arnold-Chiari malformation
  • brainstem
  • cardiovascular complication

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Intraoperative cardiovascular collapse in an infant with Arnold-Chiari malformation. / Tanaka, Makoto; Harukuni, Izumi; Naito, Hiroshi.

In: Paediatric Anaesthesia, Vol. 7, No. 2, 1997, p. 163-166.

Research output: Contribution to journalArticle

@article{b776c948bcd64e06b0ff03d73a84650d,
title = "Intraoperative cardiovascular collapse in an infant with Arnold-Chiari malformation",
abstract = "We report a case of an infant with a diagnosis of Arnold-Chiari malformation who developed acute cardiovascular collapse during posterior fossa decompression surgery. Haemodynamic manifestations were hypotension and bigeminy characterized by resistance to conventional resuscitation. The aetiology was considered to be due to brainstem compression exerted to control surgical bleeding from an inadvertently lacerated sinus at an unusual site, the rim of the foramen magnum. Restoration of blood pressure and disappearance of arrhythmia immediately followed removal of the brainstem compression rather than volume or pharmacological resuscitation.",
keywords = "Arnold-Chiari malformation, brainstem, cardiovascular complication",
author = "Makoto Tanaka and Izumi Harukuni and Hiroshi Naito",
year = "1997",
language = "English (US)",
volume = "7",
pages = "163--166",
journal = "Paediatric Anaesthesia",
issn = "1155-5645",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - Intraoperative cardiovascular collapse in an infant with Arnold-Chiari malformation

AU - Tanaka, Makoto

AU - Harukuni, Izumi

AU - Naito, Hiroshi

PY - 1997

Y1 - 1997

N2 - We report a case of an infant with a diagnosis of Arnold-Chiari malformation who developed acute cardiovascular collapse during posterior fossa decompression surgery. Haemodynamic manifestations were hypotension and bigeminy characterized by resistance to conventional resuscitation. The aetiology was considered to be due to brainstem compression exerted to control surgical bleeding from an inadvertently lacerated sinus at an unusual site, the rim of the foramen magnum. Restoration of blood pressure and disappearance of arrhythmia immediately followed removal of the brainstem compression rather than volume or pharmacological resuscitation.

AB - We report a case of an infant with a diagnosis of Arnold-Chiari malformation who developed acute cardiovascular collapse during posterior fossa decompression surgery. Haemodynamic manifestations were hypotension and bigeminy characterized by resistance to conventional resuscitation. The aetiology was considered to be due to brainstem compression exerted to control surgical bleeding from an inadvertently lacerated sinus at an unusual site, the rim of the foramen magnum. Restoration of blood pressure and disappearance of arrhythmia immediately followed removal of the brainstem compression rather than volume or pharmacological resuscitation.

KW - Arnold-Chiari malformation

KW - brainstem

KW - cardiovascular complication

UR - http://www.scopus.com/inward/record.url?scp=0031005919&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031005919&partnerID=8YFLogxK

M3 - Article

C2 - 9188119

AN - SCOPUS:0031005919

VL - 7

SP - 163

EP - 166

JO - Paediatric Anaesthesia

JF - Paediatric Anaesthesia

SN - 1155-5645

IS - 2

ER -