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Lazarus Syndrome After Aortic Aneurysm Repair
Kevyn Niu1, Jamie Lee Aldakkour1, Charles Huyghues-Despointes1
1HCA Florida Blake Hospital, Bradenton, FL.
HCA Healthcare Journal of Medicine
|January 15, 2024
Summary
Lazarus syndrome, the spontaneous return of circulation after cardiopulmonary resuscitation (CPR) cessation, is rare. This case highlights the need for extended monitoring, especially in elderly patients.
Area of Science:
- Medical Science
- Cardiology
- Critical Care Medicine
Background:
- Lazarus syndrome, defined as spontaneous return of circulation post-cardiopulmonary resuscitation (CPR), is a rare and underreported phenomenon.
- Fewer than 100 cases have been documented since its first report in 1982.
Observation:
- An 88-year-old patient, with a do-not-resuscitate directive, experienced cardiac arrest post-aortic aneurysm repair.
- The patient exhibited transient post-mortem respiration and pulse before passing away despite resuscitation efforts.
Findings:
- This case represents one of the oldest documented instances of Lazarus syndrome.
- The phenomenon challenges the established criteria for cessation of resuscitation efforts.
Implications:
- Highlights the necessity for extended patient monitoring after failed resuscitation, particularly in vulnerable populations like those with chronic obstructive pulmonary disease.
- Underscores the ongoing debate regarding optimal monitoring duration post-CPR and the lack of established guidelines for Lazarus syndrome prevention.
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