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Cardiothoracic and Vascular Anesthesia
Anesthesia and Pain Medicine 2010;5(1):67-69.
Published online January 30, 2010.
Atrial flutter associated with high pressure pneumoperitoneum during laparoscopic gastrectomy: A case report
Hyun Jeong Kwak, Kyung Cheon Lee, Dongchul Lee, Hong Soon Kim, Seung Hwan Kim
Department of Anesthesiology and Pain Medicine, Gachon University of Medicine and Science, Gil Medical Center, Incheon, Korea. khs@gilhospital.com
Abstract
Pneumoperitoneum associated with carbon dioxide (CO2) insufflation may induce alterations in electrocardiographic variables, which may produce severe atrial and ventricular arrhythmias.We now present a case in which atrial flutter developed after CO2 insufflation in a patient undergoing laparoscopic subtotal gastrectomy.Although the ECG change was reversed after desufflation, one should keep in mind the increased propensity to atrial and ventricular arrhythmias during laparoscopy with high intra-abdominal pressure.
Key Words: Atrial flutter, Laparoscopy, Pneumoperitoneum


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