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Rare postoperative delayed malignant hyperthermia after off-pump coronary bypass surgery and brief review of literature


1 Department of Cardiac Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India
2 Department of Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India
3 Department of Cardiac Anaesthesiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India

Correspondence Address:
Monish S Raut
Department of Cardiac Anaesthesiology, Sir Ganga Ram Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.179620

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Year : 2016  |  Volume : 19  |  Issue : 2  |  Page : 357-362

 

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Postoperative malignant hyperthermia (MH) is a very rare phenomena. It is generally observed within less than an hour after discontinuation of the anesthetic trigger. Present case describes rare delayed postoperative presentation of MH after off-pump coronary bypass surgery. Prompt recognition and immediate treatment with dantrolene can effectively treat the fatal syndrome. Family education and genetic counseling should be encouraged.






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1 Department of Cardiac Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India
2 Department of Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India
3 Department of Cardiac Anaesthesiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India

Correspondence Address:
Monish S Raut
Department of Cardiac Anaesthesiology, Sir Ganga Ram Hospital, New Delhi
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.179620

Rights and Permissions

Postoperative malignant hyperthermia (MH) is a very rare phenomena. It is generally observed within less than an hour after discontinuation of the anesthetic trigger. Present case describes rare delayed postoperative presentation of MH after off-pump coronary bypass surgery. Prompt recognition and immediate treatment with dantrolene can effectively treat the fatal syndrome. Family education and genetic counseling should be encouraged.






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