6/18/2010

ICU / EKG: Postop ST segment elevation

8 yr old girl, s/p PAPVR repair
(LUPV to LSVC to CS was repaired)
Baseline EKG (EKG #1) is unremarkable for immediate postop.


EKG #1
Approx. 10 hrs later, ST segment elevation was noted in monitor. Therefore, EKG was repeated. No complaints from patient.

EKG #2
Next morning: EKG was improving

EKG #3

Questions:

Is this pericarditis, developing in ~10 hrs after conclusion of surgery?

Why don't we see it in more postop. patients?

Also, see posting titled "ICU - Postop. chest pain"

2 comments:

Anonymous said...

looks to be in the cx territory. It didn't get better, it just didn't get worse. Any bleeding post op?

Bala said...

"Some bleeding" in the first 1-2 hrs after coming out of operating room. Bleeding decreased with control of hypertension with Nitroprusside infusion.