Case report: life-threatening coronary artery spasm under transversus abdominis plane block in combination with general anesthesia

Wenping Peng, Shun Huang, Shuzhen Zhou, Ning Yang, Mingzhang Zuo, Wenping Peng, Shun Huang, Shuzhen Zhou, Ning Yang, Mingzhang Zuo

Abstract

Background: Many cases of coronary artery spasm (CAS) during general plus epidural anesthesia have been reported. But transversus abdominis plane(TAP) block in combination with general anesthesia has not been reported to be a cause of CAS, let alone a life-threatening CAS.

Case presentation: In this case report, we present a case of a patient with CAS accompanied by ventricular fibrillation under general anesthesia with TAP block.

Conclusion: Coronary artery spasm, even life-threatening CAS, may occur during TAP block in combination with general anesthesia.

Keywords: Coronary artery spasm; Electrocardiogram; Perioperative period; Transversus abdominis plane block.

Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Written informed consent was obtained from the patient for publication of this Case report. A copy of the written consent is available for review by the Editor of this journal.

Competing interests

The authors declare that they have no competing interests.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Preoperative ECG. Preoperative resting electrocardiogram(ECG) was within normal limits
Fig. 2
Fig. 2
First ST segment elevation in lead II. ST segment elevation in lead II was firstly noted and lead V5 showed no abnormalities
Fig. 3
Fig. 3
Second ST segment elevation in lead II. Second ST elevation in lead II and frequent premature ventricular contractions were recorded by the monitor
Fig. 4
Fig. 4
Trans thoracic echocardiography(TTE) just after ventricular fibrillation. TTE showed no air bubble in the heart

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