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Cardiac arrest as a major complication of bilateral cervico-dorsal sympathectomy

^a Department of Cardiology, Institut universitaire de cardiologie et de pneumologie, Hôpital Laval, 2725 Chemin Ste-Foy, Québec, G1V 4G5, Canada
^b Department of Thoracic Surgery, Institut universitaire de cardiologie et de pneumologie, Hôpital Laval, Québec, G1V 4G5, Canada

*Corresponding author. Present address: Marcellin-Lagarde, 2, Sougne-Remouchamps, 49020, Belgium. Tel.: +418-656-8711; fax: +418-656-4821.

E-mail address: kim.oconnor.1{at}ulaval.ca (K. O'Connor).

Severe palmar and/or axillary hyperhidrosis can be socially and psychologically very disturbing. We present a case of a patient who suffered from a 43 s asystolic cardiac arrest the night following a second contralateral thoracoscopic T₂–T₃ sympathectomy for severe axillary and truncal hyperhidrosis. The cardiovascular effects of cervico-dorsal sympathectomy will be reviewed. Evaluation required to prevent such a serious cardiac complication will also be discussed.

Key Words: Hyperhidrosis; Sympathectomy; Cardiac complication