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Published on: February 11, 2022
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Choreoathetotic syndrome following cardiac surgery
Michela Bisciglia1, Frédéric London1, Jonathan Hulin2
1Department of Neurology, Cliniques Universitaires UCL St-Luc, 10 avenue Hippocrate, 1200, Brussels, Belgium.
Journal of Clinical Anesthesia
|February 11, 2017
Summary
Movement disorders after heart surgery are rare. This case study details a 73-year-old woman who developed choreoathetoid movements post-aortic valve replacement, despite normal surgical conditions.
Area of Science:
- Neurology
- Cardiology
- Surgical Complications
Background:
- Movement disorders post-cardiac surgery are uncommon, particularly in adults.
- Post-pump chorea is typically seen in pediatric patients following prolonged extracorporeal circulation and deep hypothermia.
Observation:
- A 73-year-old woman presented with acute choreoathetoid movements 5 days after aortic valvular replacement.
- The patient had no prior history of movement disorders or predisposing risk factors.
Findings:
- The patient's surgical procedure involved normal extracorporeal circulation time and perioperative normothermia.
- This presentation challenges the established understanding of post-pump chorea's typical etiology and patient demographic.
Implications:
- This case highlights the possibility of atypical movement disorders after cardiac surgery, even in the absence of typical risk factors.
- Further research is needed to understand the mechanisms and identify potential risk factors for such rare neurological complications in adult cardiac surgery patients.
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