Open AccessManagement of a patient with hyperkalemic periodic paralysis requiring coronary artery bypass grafts
Author(s) -
Sanjay Orathi Patangi,
Mathew Garner,
H. Powell
Publication year - 2012
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/0971-9784.101867
Subject(s) - medicine , periodic paralysis , hyperkalemia , perioperative , paralysis , cardiopulmonary bypass , myotonia , anesthesia , weakness , bypass grafting , coronary artery disease , artery , off pump coronary artery bypass , surgery , cardiology , myotonic dystrophy
Hyperkalemic periodic paralysis (HPP) is an autosomal-dominant inherited muscle disease characterized by episodes of flaccid weakness and intermittent myotonia. There are no previous reports in the literature about anesthesia for cardiac surgery with cardiopulmonary bypass in this disorder. We describe perioperative anesthetic management for on-pump coronary artery bypass grafting in a 75-year-old man with a history of hyperkalemic periodic paralysis. This case report outlines our management strategy and the issues encountered during the perioperative period.