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Cardiac Arrest During Laparoscopic Roux-en-Y Gastric Bypass in a Bariatric Patient with Drug-Associated Long QT Syndrome

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Abstract

Obese patients often may demonstrate an acquired prolonged QTc interval due to alteration in cardiac physiology, electrolyte disturbances, and/or medication use. Intraoperatively, bariatric surgery may further contribute additional cardiac stressors to obese patients with long QT syndrome (LQTS). We present a case report of an obese woman with LQTS who underwent laparoscopic Roux-en-Y gastric bypass surgery and sustained an intraoperative cardiac arrest. We discuss identification, prevention, and treatment strategies for LQTS in the bariatric surgery patient.

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Conflict of Interest Statement

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Anesthesiology, Stanford University Medical Center, Stanford, CA, USA

    Jay B. Brodsky

  2. Stanford University Medical Center, 300 Pasteur Drive, H3680, Stanford, CA, 94305, USA

    Gavitt Woodard & John M. Morton

Authors
  1. Gavitt Woodard
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  2. Jay B. Brodsky
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  3. John M. Morton
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Correspondence to John M. Morton.

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Woodard, G., Brodsky, J.B. & Morton, J.M. Cardiac Arrest During Laparoscopic Roux-en-Y Gastric Bypass in a Bariatric Patient with Drug-Associated Long QT Syndrome. OBES SURG 21, 134–137 (2011). https://doi.org/10.1007/s11695-010-0137-8

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  • DOI: https://doi.org/10.1007/s11695-010-0137-8

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