[Case of XXXX due to @entity3361 during laparoscopic distal gastrectomy].

@entity1 @entity12118 @entity6358 @entity1165 @entity3361 @entity51 @entity2473 @entity2224 @entity741 @entity2614 @entity1167 @entity943 @entity7976 @entity934
We describe a 50-year-old @entity1 who developed @entity943 followed by @entity1167 during laparoscopic distal gastrectomy. Preoperatively, there were no findings suggesting an @entity741 . Anesthesia was maintained using @entity2614 combined with epidural anesthesia. His blood pressure, heart rate, and ECG waves were stable during the initial stage of laparoscopic procedure. After establishment of small laparotomy for stomach resection, the blood pressure decreased to before 60 mmHg without remarkable ST change on lead II. Administration of intravenous @entity6358 was not effective and a short run appeared. Then persistent @entity1165 followed by ventricular standstill developed. Chest compression and intravenous adrenalin restored sinus rhythm, and thereafter the @entity1 remained hemodynamically stable with intravenous @entity12118 and @entity7976 . The operation was completed and the @entity1 awoke without @entity51 . Postoperatively the coronary angiography showed no stenosis of coronary arteries; however, when @entity934 test was attempted on right coronary artery, @entity2224 in accordance with @entity2473 of #1 segmental coronary artery developed. In the case of abrupt onset of lethal @entity943 , @entity3361 should be suspected even when ST changes are not recognized with routine ECG monitor.
