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Yeungnam Univ J Med > Volume 26(2); 2009 > Article
Yeungnam University Journal of Medicine 2009;26(2):148-155.
DOI: https://doi.org/10.12701/yujm.2009.26.2.148    Published online December 31, 2009.
Anesthetic Experience for Trans-Sphenoidal Surgery of Pituitary Adenoma on a Patient with Brugada Syndrome: A Case Report.
Min Jung Heo, Sae Yeon Kim
Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Korea. sykim@med.yu.ac.kr
Abstract
Brugada syndrome is characterized by an ECG pattern of right bundle branch block and ST segment elevation in the right precordial leads (V(1)-V(3)) without structural heart disease. It is also characterized by sudden cardiac death that's caused by ventricular fibrillation. This is a familial syndrome with an autosomal dominant inheritance pattern and it may be considerably more common in Southeast Asia. Many factors during anesthesia can precipitate malignant dysrrhythmia in these patients, so careful choice of anesthetics is required. We experienced a case of Brugada syndrome in a 59-year-old male patient who was under general anesthesia for trans-sphenoidal surgery to treat a pituitary adenoma, and the patient was diagnosed as having Brugada syndrome without any untoward cardiovascular events.
Key Words: Brugada syndrome, General anesthesia, Ventricular fibrillation


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