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Can We Prevent Malignant Hyperthermia after Hypothermic Cardiopulmonary Bypass in a Malignant Hyperthermia-Susceptible Patient?

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We read with interest the report describing a patient with a family history suggestive of malignant hyperthermia (MH) who developed MH after hypothermic cardiopulmonary bypass (CPB), despite the use of a nontriggering anesthetic; the report postulated that systemic rewarming was the triggering factor via a mechanism similar to heat stroke.

We report a 75-yr-old male patient whose son had MH confirmed with muscle biopsy.

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