Percutaneous cardiopulmonary support for the management of recurrent cardiac arrest during scoliosis correction surgery in the prone position: A case report

Cho, Suk Ju; Lee, Eun Hye; Hwang, Jin Young; Park, Seong Joo; Hahn, Sung Hee; Kim, Jin Hee

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2012;7(1):41-44.
Published online January 31, 2012.

Percutaneous cardiopulmonary support for the management of recurrent cardiac arrest during scoliosis correction surgery in the prone position: A case report

Suk Ju Cho, Eun Hye Lee, Jin Young Hwang, Seong Joo Park, Sung Hee Hahn, Jin Hee Kim

¹Department of Anesthesiology and Pain Medicine, College of Medicine, Jeju National University, Jeju, Korea.
²Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea.
³Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. mistyblue15@hanmail.net

Abstract

Effective cardiopulmonary resuscitation (CPR) is difficult for a patient undergoing surgery in the prone position. We report a successful CPR in a prone-positioned patient. This case is the first case report of successful management of recurrent cardiac arrest using percutaneous cardiopulmonary support (PCPS) during a prone-position surgery. A 18-year-old female patient with severe scoliosis underwent a deformity correction surgery. Sudden cardiac arrest occurred immediately after the insertion of a rod in the surgical field for correcting the spine alignment. The patient's position was promptly changed to the supine position, and cardiopulmonary resuscitation was performed. After the return of spontaneous circulation, the second operation was followed after three weeks. During the second operation, cardiac arrest recurrently occurred whenever the rod was inserted. Cardiopulmonary resuscitation was performed in a prone position. After returing of spontaneous circulation, patient was repositioned to a supine position and the PCPS was started. Under PCPS support, the operation was successfully completed in a prone position, and the patient was successfully weaned from PCPS.

Key Words: Cardiac arrest, Percutaneous cardiopulmonary support, Prone position