Case of Wenckebach-type atrioventricular block caused by administration of indigo carmine

We report a case of first-degree atrioventricular (A-V) block progressing to second-degree (Wenckebach-type) A-V block after administration of indigo carmine in a patient undergoing hysterectomy under general anesthesia. We believe that the onset of Wenckebach-type A-V block may have been induced by...

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Bibliographic Details
Published in:	The Tokai journal of experimental and clinical medicine Vol. 39; no. 1; p. 10
Main Authors:	Takeyama, Kazuhide, Sakamoto, Reinii, Yoshikawa, Masanobu, Suzuki, Toshiyasu
Format:	Journal Article
Language:	English
Published:	Japan 20-03-2014
Subjects:	Adult Anesthesia, General Atrioventricular Block - chemically induced Atrioventricular Block - diagnosis Coloring Agents - adverse effects Disease Progression Electrocardiography Female Humans Hysterectomy Indigo Carmine - adverse effects Intraoperative Complications - chemically induced Intraoperative Complications - diagnosis Leiomyoma - surgery Piperidines - adverse effects Propofol - adverse effects Ureter - injuries Uterine Neoplasms - surgery Vagus Nerve - physiopathology
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Summary:	We report a case of first-degree atrioventricular (A-V) block progressing to second-degree (Wenckebach-type) A-V block after administration of indigo carmine in a patient undergoing hysterectomy under general anesthesia. We believe that the onset of Wenckebach-type A-V block may have been induced by one or more of three factors: 1) preoperative first-degree A-V block, 2) the anesthetics used (propofol and remifentanil), and 3) administration of indigo carmine.
ISSN:	2185-2243