CASE REPORT
Year : 2021  |  Volume : 15  |  Issue : 2  |  Page : 207-209

Anesthetic management in bilateral video-assisted thoracoscopic sympathectomy for refractory ventricular arrhythmias: A case report


Department of Anesthesia and Pain Medicine, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte/Minhas Gerais, Brazil

Correspondence Address:
Camila Biazussi Damasceno
Rua Professor Anibal de Mattos, 290, Santo Antônio, Belo Horizonte – MG/, CEP 30350-220
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.sja_1014_20

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Cardiac Sympathetic Denervation (CSD) has been shown to reduce shocks and subsequent pain of implantable cardiac defibrillator (ICD) in patients with heart diseases and recurrent Ventricular Tachycardia (VT) who did not respond properly to oral therapy and ablation. A 68-year-old man who presented an idiopathic dilated cardiomyopathy with impaired ejection fraction was treated for VT. A bilateral cardiac sympathetic denervation was performed under general anesthesia. Patient was extubated in the operating room and transferred to ICU where he presented hypotension. He was discharged after five days and remained symptom-free without any incident of VT during hospital stay. Currently no definite anesthetic management is available to treat such patients. This report discusses an approach that made heart rate control and safe patient discharge possible.


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