Lown Ganong Levine (LGL) which is a preexcitation syndrome is defined with paroxysmal tachycardia, dyspnea, anxiety, angina, and the complaint of fatigue accompanied by characteristic changes on ECG (short PR). Herein, we present a case of cesarean which we completed with a low-dose spinal anesthesia without problem, avoiding from general anesthesia which could be induced with numerous arrhythmogenic drugs, because of arrhythmia complication which might be mortal.
Goldberger AL. Electrocardiography. In: Kasper DL. Braunwauld E, Fauici AS, Hauser SL, Longo DL, Jameson JL, eds. Harrison’s Principles of Internal Medicine. McGraw-Hill, 2005:1311-20
Rubart M, Zipes DP. Genesis of cardiac arrhthmias: electrophysiologic considerations. In: Braunwald E, Zipes DP, Libby P, eds. Heart Disease. A Textboook of Cardiovascular Medicine. 6th ed. WB Saunders, 2003 659-99.
Wolff L, Parkinson J, White PD. Bundle branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia. 1930. Ann Noninvasive Electrocardiol. 2006;11:340-53.
Scheinman MM. The history of the wolff–parkinson–white syndrome. RMMJ. 2012;3:e0019.
Shora A, Gurkoo S, Farooqi A, et al. Anaesthetic management of Wolff Parkinson White syndrome for caesarean section. The Internet Journal of Anaesthesiology. 2007;16:1-4.
Centurión OA, Shimizu A, Isomoto S, et al. Mechanisms for the genesis of paroxysmal atrial fibrillation in the Wolff—Parkinson—White syndrome: intrinsic atrial muscle vulnerability vs. electrophysiological properties of the accessory pathway. Europace. 2008;10:294-302.
Kaur S, Gupta P, Aggarwal S. Anaesthetic management of Wolff-ParkinsonWhite syndrome for elective caesarean section. Int J Pharm Pharm Sci. 2012;4:755-6.
Sahu S, Karna ST, Karna A, et al. Anaesthetic management of WolffParkinson-White syndrome for hysterectomy. Indian J Anaesth. 2011;55:37880.
Garg R, Sinha R, Nishad PK. Patient with Wolff-Parkinson-White syndrome with intermittent pre-excitation under subarachnoid block for urological surgery. Indian J Anaesth. 2011;55:167-70.