@entity661 secondary to XXXX . Case report.

@entity1 @entity4094 @entity101 @entity12906 @entity2944 @entity75 @entity910 @entity2147 @entity260 @entity591 @entity891 @entity661 @entity1576 @entity1167 @entity912
BACKGROUND AND OBJECTIVES: @entity661 is a rare @entity260 with a 5% mortality rate. The objective of this report was to present @entity4094 as a trigger for this syndrome, discuss this disorder, and call attention to the risks of @entity4094 . CASE REPORT: A 61-year old female, physical status ASA I, who underwent general anesthesia associated with paravertebral cervical block for arthroscopic repair of a rotator cuff lesion. Physical exam after extubation detected @entity4094 . In the post-anesthetic care unit the @entity1 developed @entity2147 , @entity591 , @entity101 , and severe @entity12906 . After reintubation the @entity1 evolved for @entity1167 with electrical activity without a pulse, which was reverted with the administration of adrenaline and external cardiac massage. In the postoperative period the @entity1 presented elevation of the ST segment, increased troponin, and left ventricular medial-apical @entity910 with an estimated ejection fraction of 30%. Cardiac catheterization showed absence of significant @entity75 in the coronary vessels, and severe disruption of the systolic function with inferior and antero-septo-apical @entity910 and compensatory basal hypercontractility. The @entity1 had complete functional recovery with the treatment instituted. CONCLUSIONS: Residual neuromuscular blockade associated with diaphragmatic @entity912 and possible @entity891 leading to @entity1576 , @entity2944 , and adrenergic discharge triggered the @entity661 with severe clinical repercussion.
