Management of a patient with hyperkalemic periodic paralysis requiring coronary artery bypass grafts

Ann Card Anaesth. 2012 Oct-Dec;15(4):302-4. doi: 10.4103/0971-9784.101867.


Hyperkalemic periodic paralysis (HPP) is an autosomal-dominant inherited muscle disease characterized by episodes of flaccid weakness and intermittent myotonia. There are no previous reports in the literature about anesthesia for cardiac surgery with cardiopulmonary bypass in this disorder. We describe perioperative anesthetic management for on-pump coronary artery bypass grafting in a 75-year-old man with a history of hyperkalemic periodic paralysis. This case report outlines our management strategy and the issues encountered during the perioperative period.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cardiopulmonary Bypass
  • Coronary Artery Bypass*
  • Humans
  • Male
  • Paralysis, Hyperkalemic Periodic / physiopathology*
  • Perioperative Care