Management of video?assisted thoracoscopic (VATs) bilateral cardiac sympathectomy in refractory ventricular storm: A case report
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Date
2022-03
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
Abstract
A 65?year?old male post?CABG surgery presented with history of ventricular storm refractory to antiarrhythmics and requiring multiple DC shocks. He got posted for VATs bilateral cardiac denervation for sympathetic remodulation. Patient was induced with high dose opioids and Etomidate and intubated with 37Fr left double lumen tube. A multidisciplinary approach was planned to tackle peri?operative cardiac event along with the placement of invasive monitors. Events that might lead to sympathetic overactivation because of laryngoscopy, pain, capnothorax, and surgical handling were kept in mind and avoided with optimum depth of anesthesia, analgesia, and pharmacological sympatholysis. There was no major cardiac event intraoperatively as well as in postoperative period.
Description
Keywords
Cardiac sympathectomy, VATs, ventricular storm
Citation
Sakrikar Gayatri R, Buddhi Madhavi, Patel R D, Mathkar Shraddha S. Management of video?assisted thoracoscopic (VATs) bilateral cardiac sympathectomy in refractory ventricular storm: A case report. Annals of Cardiac Anaesthesia. 2022 Mar; 25(1): 103-106