Cardiac surgery in a patient with implanted vagal nerve stimulator
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Date
2018-01
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
Abstract
The prevalence of epilepsy worldwide is around 0.5%–2% of the population. Antiepileptic medications are the first line of treatment in most of the cases but approximately 25%–30% epilepsy patients are refractory to the single or combination therapy. The surgical option for temporal lobe epilepsy is temporal lobectomy, which has its inherent risk of neurological deficits after the surgery. Patients who are either refractory to combination therapy or do not want surgical temporal lobectomy are the candidates for electrical stimulation therapy. Refractory cases require implantable device such as vagal nerve stimulator (VNS). We are reporting perioperative management of a patient, with an implanted VNS, posted for pericardiectomy. It is important for the anesthesiologist to be familiar with the mechanism of VNS for proper perioperative care.
Description
Keywords
Cardiac surgery, epilepsy, pericardiectomy, vagal nerve stimulator
Citation
Jain Aashish, Arora Dheeraj, Mehta Yatin. Cardiac surgery in a patient with implanted vagal nerve stimulator. Annals of Cardiac Anaesthesia. 2018 Jan; 21(1): 57-59