Oral surgery under general anesthesia in a patient with catecholaminergic polymorphic ventricular tachycardia: A case report

Author:

Yamasaki Sachiko1ORCID,Yoshioka Yukio1ORCID,Oue Kana2,Koizumi Koichi1,Yanamoto Souichi1

Affiliation:

1. Department of Oral Oncology, Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima City Hiroshima Japan

2. Department of Dental Anesthesiology Hiroshima University Hospital Hiroshima City Hiroshima Japan

Abstract

AbstractBackgroundCatecholaminergic polymorphic ventricular tachycardia (CPVT) is a fatal arrhythmic disease. Herein, we report a case of third molar extraction performed under general anesthesia to avoid ventricular tachycardia.Case PresentationA 28‐year‐old woman presented with constant pain and bilateral mandibular gingival swelling. The patient had a history of CPVT diagnosis at 5 years of age, which had been managed with beta‐blockers and sodium channel blockers. Due to the contraindication of using epinephrine and the risk of CPVT induction due to pain, the extraction was conducted under general anesthesia.ConclusionOral surgery in CPVT patients requires appropriate anesthetic agent selection.

Funder

Japan Society for the Promotion of Science

Ministry of Education, Culture, Sports, Science and Technology

Publisher

Wiley

Subject

Otorhinolaryngology

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