ACE Inhibitor-Induced Angioedema following Cervical Spine Surgery
Joint Authors
Hannoodi, Faris
Sabbagh, Hussam
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-28
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
Angioedema is a well-known side effect of angiotensin converting enzyme inhibitors (ACEi).
However, ACE inhibitors induced angioedema after cervical surgery is a rare condition.
They result in increased levels of circulating bradykinins.
Rare cases of angioedema following local trauma in patients using ACE inhibitors have been published.
We present such a case.
A 54-year-old Caucasian female with a history significant for hypertension, controlled with lisinopril, was admitted for routine cervical spine surgery.
She has severe degenerative cervical disc disease and was admitted to the hospital for an elective cervical diskectomy.
The patient failed weaning off the ventilator on multiple attempts postoperatively.
There were no observed symptoms of an allergic reaction.
A CT scan of the neck showed extensive soft tissue edema at the level of the arytenoids.
Dexamethasone was given to reduce the edema without successful resolution.
On review of her medications, it was found that the patient was resumed on lisinopril following the procedure.
It was subsequently discontinued.
By the following day the patient had a positive leak around the ET tube cuff and patient was successfully extubated.
American Psychological Association (APA)
Hannoodi, Faris& Sabbagh, Hussam. 2017. ACE Inhibitor-Induced Angioedema following Cervical Spine Surgery. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-2.
https://search.emarefa.net/detail/BIM-1144042
Modern Language Association (MLA)
Hannoodi, Faris& Sabbagh, Hussam. ACE Inhibitor-Induced Angioedema following Cervical Spine Surgery. Case Reports in Cardiology No. 2017 (2017), pp.1-2.
https://search.emarefa.net/detail/BIM-1144042
American Medical Association (AMA)
Hannoodi, Faris& Sabbagh, Hussam. ACE Inhibitor-Induced Angioedema following Cervical Spine Surgery. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-2.
https://search.emarefa.net/detail/BIM-1144042
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144042