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British Journal of Anaesthesia, 2003, Vol. 90, No. 6 800-804
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Acute heart failure during spinal surgery in a boy with Duchenne muscular dystrophy

G. N. Schmidt1, M.-A. Burmeister1, C. Lilje2, F. Wappler1 and P. Bischoff1

1 Department of Anaesthesiology, University Hospital Eppendorf, Hamburg, Germany. 2 Department of Paediatric Cardiology, University Hospital Eppendorf, Hamburg, Germany

Corresponding author: Department of Anaesthesiology, University Hospital Eppendorf, Martinistrasse 52, D-20246 Hamburg, Germany. E-mail: guschmid@uke.uni-hamburg.de

Patients with Duchenne muscular dystrophy (DMD) are at high risk of perioperative complications. DMD may be accompanied by heart failure resulting from dystrophic involvement of the myocardium, which can be subclinical in the early stages of the disease. This case demonstrates that a normal preoperative ECG and echocardiograph cannot exclude the development of heart failure during anaesthesia in DMD patients undergoing major surgery.

Br J Anaesth 2003; 90: 800–4


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