Anesthetic approach of a patient with acute left-branch block

Authors

  • Marcelino Sánchez Tamayo Editorial Ciencias Médicas. La Habana
  • Maribel Correa
  • Miguel Livan Sánchez Martín
  • Eivet García Real

Keywords:

left-branch block, myocardial ischemia, phase-3 block

Abstract

Introduction: Rate-dependent left bundle branch block is not a rare entity for the clinical practice in anesthesiology, but appears as a consequence of heart diseases or not always due to slowness in atrial frequency above all, with coronary artery diseases diagnosed only after their being ruled out.
Objective: To describe the clinical-anesthetic management of a patient who presented left bundle branch block for elective thoracic surgery due to mediastinal tumor.
Findings: We present a clinical case of a female patient with rate-dependent left bundle branch block who was announced for thoracic surgery, without a previous history of coronary artery disease. The surgery proceeded without complications and with positive outcome.
Conclusions: Rate-dependent left-branch block is a rare entity and a diagnosis ruling out other cardiovascular entities or not, such as myocardial ischemia. An adequate intraoperative management of the patient provides excellent outcome without clinical translation or complications.

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Published

2018-10-31

How to Cite

1.
Sánchez Tamayo M, Correa M, Sánchez Martín ML, García Real E. Anesthetic approach of a patient with acute left-branch block. Rev Cub Anest Rean [Internet]. 2018 Oct. 31 [cited 2025 Mar. 31];17(1). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/60

Issue

Vol. 17 No. 1 (2018): January - April

Section

Case reports

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