Intraoperative cardiovascular collapse in an infant with Arnold-Chiari malformation

Makoto Tanaka, Izumi Harukuni, Hiroshi Naito

Research output: Contribution to journalArticle

7 Scopus citations

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
DOIs
StatePublished - Jan 1 1997

Keywords

  • Arnold-Chiari malformation
  • brainstem
  • cardiovascular complication

ASJC Scopus subject areas

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

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