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Repetitive junctional rhythm during forehead-lift surgery--a case report
Yi-Ru Shih1, Shih-Kuei Peng, Tzung-Chieh Tsai
1Department of Anesthesiology, Taichung Veterans General Hsopital and Chung-Shan Medical University, Taichung, Taiwan, ROC.
Summary
Forehead lift surgery is generally safe, but this case highlights a rare cardiac event. Repetitive junctional rhythm occurred during a forehead lift, prompting discussion of its causes and management.
Area of Science:
- Cardiology
- Plastic Surgery
- Anesthesiology
Background:
- Forehead lift procedures are considered low-risk for cardiovascular complications.
- Cardiac arrhythmias, such as sinus bradycardia, are rare but documented during aesthetic surgeries.
- Repetitive junctional rhythm has not been previously reported in the context of forehead lift surgery.
Observation:
- A 45-year-old woman undergoing forehead lift plastic surgery experienced an unexpected cardiac event.
- The patient developed repetitive junctional rhythm during the surgical procedure.
- This arrhythmia was potentially linked to the surgical manipulation and the oculocardiac reflex.
Findings:
- The case report details the occurrence of repetitive junctional rhythm during a forehead lift.
- It explores potential triggers, including the oculocardiac reflex, a known phenomenon during facial surgery.
- The report discusses the perioperative management strategies employed for this rare arrhythmia.
Implications:
- This case expands the understanding of potential cardiac complications during forehead lift surgery.
- It underscores the importance of vigilance for rare arrhythmias in aesthetic procedures.
- Highlights the need for awareness and preparedness for managing intraoperative cardiac events, such as the oculocardiac reflex.
