Abstract
A 64 year-old patient with compromised severe right-coronary artery disease underwent cholecystectomy under total intravenous anesthesia(TIVA) using propofol-fentanyl-vecuronium. Third degree A-V block occurred during surgery; however after administration of atropine, normal sinus rhythm was restored. Since TIVA using propofol and fentanyl tends to cause bradycardia, we should be particularly aware of the possibility of A-V block in patients with compromised severe right-coronary artery disease.
