Open AccessLBBB with History of Complete Atrioventricular Dissociation Underwent Bipolar Hemiarthroplasty
Author(s) -
Anjana Sahu,
Indirani H Kumar
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/14126.7941
Subject(s) - medicine , left bundle branch block , dissociation (chemistry) , surgery , complication , anesthesia , atrioventricular block , heart block , cardiology , heart failure , electrocardiography , chemistry
A 70-year-old female patient, known case of hypertension and incomplete Left bundle branch block (LBBB), posted for bipolar hemiarthroplasty. A geriatric patient with LBBB and systemic hypertension is a fatal combination; it may precipitate into complete AV dissociation during anaesthesia and surgical stress. We are reporting this interesting case as our patient had developed complete Atrioventricular (AV) dissociation when scheduled earlier for surgery and got postponed. We had given combined spinal epidural anaesthesia and managed successfully without any complication.