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. 2011 Jul;55(4):381-3.
doi: 10.4103/0019-5049.84868.

Anaesthetic management of a case of Wolff-Parkinson-White syndrome

Savitri D Kabade  1 , Safiya Sheikh, Bhavya Periyadka
Affiliations

Anaesthetic management of a case of Wolff-Parkinson-White syndrome

Savitri D Kabade et al. Indian J Anaesth. 2011 Jul.

Abstract

We report a case of fibroid uterus with Wolff-Parkinson-White (WPW) syndrome in a 48-year-old female, posted for elective hysterectomy. Patient gave history of short recurrent episodes of palpitation and electrocardiograph confirmed the diagnosis of WPW syndrome. The anaesthetic management of these patients is challenging as they are known to develop life threatening tachyarrhythmia like paroxysmal supra-ventricular tachycardia (PSVT) and atrial fibrillation (AF). Epidural anaesthesia is preferred compared to general anaesthesia to avoid polypharmacy, noxious stimuli of laryngoscopy and intubation. To deal with perioperative complications like PSVT and AF, anti-arrhythmic drugs like adenosine, beta blockers and defibrillator should be kept ready. Perioperative monitoring is essential as patients can develop complications.

Keywords: Accessory pathway; WPW syndrome; adenosine; epidural anaesthesia; tachyarrhythmia.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
ECG depicting wide QRS complex due to “Delta waves” seen in Wolff–Parkinson–White syndrome
See this image and copyright information in PMC

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