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Pediatric Anesthesia
Anesthesia and Pain Medicine 2013;8(4):261-264.
Published online October 30, 2013.
Paroxysmal atrial fibrillation developed during perioperative periods in an adolescent without any underlying disease: A case report
Yu Jin Jeong, Il Ok Lee, Myoung Hoon Kong, Nan Sook Kim, Heezoo Kim, Byung Gun Lim
Department of Anesthesiology and Pain Medicine, Guro Hospital, College of Medicine, Korea University, Seoul, Korea.
Although the development of arrhythmias including atrial fibrillation (AF) is common under general anesthesia during surgery, the first episode of AF to occur during this period is rather uncommon. Moreover, most instances of AF are associated with old age, cardiopulmonary diseases as well as metabolic, endocrine, or genetic abnormalities. The occurrence of paroxysmal AF in the perioperative period in an adolescent without any underlying diseases or organic abnormalities has never been reported. Herein, we report a case of a 16-year-old adolescent whose paroxysmal AF was suspected before the anesthesia induction for strabismus surgery and diagnosed after anesthetic induction. Nevertheless, he was managed successfully with esmolol infusions during and after the surgery and thus recovered spontaneously.
Key Words: Adolescent, Anesthesia, Atrial fibrillation

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