Intraoperative cardiac arrhythmias related to prolonged QT syndrome ar
e uncommon. We describe a 26-year-old woman in whom ventricular fibril
lation occurred during the final minutes of a partial glossectomy and
right supraomohyoid selective neck dissection and discuss the role tha
t this specific operation may have had in the development of the intra
operative event. In addition, we review the perioperative management o
f patients with prolonged QT syndrome.