Thoracoscopic Sympathectomy for Refractory Electrical Storm After Coronary Artery Bypass Grafting

被引:8
|
作者
Wehman, Brody
Mazzeffi, Michael
Chow, Robert
Watkins, A. Claire
Aicher, Brittany
Si Pham
Burrows, Whitney
Taylor, Bradley
机构
[1] Univ Maryland, Sch Med, Dept Surg, Div Cardiac Surg, Baltimore, MD 21201 USA
[2] Univ Maryland, Sch Med, Dept Anesthesiol, Baltimore, MD 21201 USA
来源
ANNALS OF THORACIC SURGERY | 2018年 / 105卷 / 03期
关键词
MANAGEMENT;
D O I
10.1016/j.athoracsur.2017.10.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a patient with refractory electrical storm after coronary artery bypass grafting who was successfully treated with thoracoscopic sympathectomy. Cardiac arrest with ventricular tachycardia occurred on postoperative day 2, and the patient required emergency support with venoarterial extracorporeal membrane oxygenation. Frequent episodes of ventricular tachycardia prevented cardiac recovery and weaning from mechanical circulatory support. A percutaneous left stellate ganglion block initially demonstrated successful prevention of ventricular tachycardia, and definitive sympathetic denervation was achieved by a left thoracoscopic sympathectomy. The patient remained in normal sinus rhythm and gained recovery of baseline ventricular function, permitting successful decannulation and weaning of inotropic support. (C) 2018 by The Society of Thoracic Surgeons
引用
收藏
页码:E99 / E101
页数:3
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