Ventricular fibrillation during general anaesthesia in a seven-year-old patient with mitral valve prolapse.

A case report is presented of a seven-year-old boy who developed ventricular fibrillation during general anaesthesia with atracurium, O2, N2O and halothane, following tracheal intubation for hypospadias revision. He spontaneously defibrillated and the surgery was cancelled. Echocardiography done two days later was normal. The patient returned two weeks later for the same procedure. He developed nodal tachycardia, and premature ventricular contractions, which responded to lidocaine. A second echocardiographic examination done postoperatively while the child was crying showed mitral valve prolapse.

Migration of ventriculo-peritoneal shunt into lateral ventricle of an adult.

Migration of an entire ventriculo-peritoneal shunt into the lateral ventricle of an adult patient with chronic hydrocephalus is presented. The possible causes are reviewed.