Management of a patient with hyperkalemic periodic paralysis requiring coronary artery bypass grafts.

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Date
2012-10
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Abstract
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.
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Keywords
Cardiac surgery, Hyperkalemic periodic paralysis, Peri-operative anesthetic management
Citation
Patangi Sanjay Orathi, Garner Mathew, Powell Hazel. Management of a patient with hyperkalemic periodic paralysis requiring coronary artery bypass grafts. Annals of Cardiac Anaesthesia. 2012 Oct; 15(4): 302-304.