Next article Search Articles Instructions for authors  Access Statistics | Citation Manager  
CASE REPORT  

 Article Access Statistics
    Viewed850    
    Printed6    
    Emailed0    
    PDF Downloaded115    
    Comments [Add]    

Recommend this journal

Management of video-assisted thoracoscopic (VATs) bilateral cardiac sympathectomy in refractory ventricular storm: A case report


Department of Anaesthesiology, Seth G S Medical College and K E M Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Gayatri R Sakrikar
1, Pavankumar Society, Sant Janabai Road, Vileparle East, Mumbai - 400 057, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_106_20

Rights and Permissions

Year : 2022  |  Volume : 25  |  Issue : 1  |  Page : 103-106

 

SEARCH
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles

  Article in PDF (1,304 KB)
Email article
Print Article
Add to My List
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.






[FULL TEXT] [PDF]*
 

 

 

 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 
 
 Reader Comments
 Email Alert *
  *
 * Requires registration (Free)
 
 CASE REPORT
 




Department of Anaesthesiology, Seth G S Medical College and K E M Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Gayatri R Sakrikar
1, Pavankumar Society, Sant Janabai Road, Vileparle East, Mumbai - 400 057, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_106_20

Rights and Permissions

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.






[FULL TEXT] [PDF]*


        
Print this article     Email this article