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Transient Complete Atrioventricular Block Resulted from Cardiac Anaphylaxis Caused by Sugammadex

Motoyo Iwade, Asami Ohashi, Miyabi Kamiya and Makoto Ozaki

The present report describes an elderly man undergoing surgery who subsequently developed complete atrioventricular block following sugammadex administration. Cardiac anaphylaxis due to sugammadex was considered to be the most likely cause. The onset of anaphylaxis may trigger severe heart block, attributable to the direct actions on the heart of chemical mediators.