Alternative Salvage Technique during Postcardiotomy Electrical Storm

Abstract

Cardiac electrical storm is generally treated with antiarrhythmic drugs, electrical cardioversion, or catheter ablation. However, these conservative treatment modalities are considered neither curative nor preventive with regard to recurrent arrhythmias in postoperative electrical storm after open heart surgery. We present a case of surgical ventricular assist device placement for postcardiotomy electrical storm in a 38-year-old patient.

Key words

Cardiovascular surgery - heart valve surgery - myocardial protection

References

• 1 Credner S C, Klingenheben T, Mauss O, Sticherling C, Hohnloser S H. Electrical storm in patients with transvenous implantable cardioverter-defibrillators: incidence, management and prognostic implications.  J Am Coll Cardiol. 1998;  32 1909-1915
• 2 Exner D V, Pinski S L, Wyse D G et al. AVID investigators. Antiarrhythmics versus implantable defibrillators. Electrical storm presages non-sudden death: the antiarrhythmics versus implantable defibrillators (AVID) trial.  Circulation. 2001;  103 2066-2071
• 3 Kron I L, DiMarco J P, Harman P K et al. Unanticipated postoperative ventricular tachyarrthmias.  Ann Thorac Surg. 1984;  38 317-322
• 4 Steinberg J S, Gaur A, Sciacca R, Tan E. New-onset sustained ventricular tachycardia after cardiac surgery.  Circulation. 1999;  99 903-908
• 5 Yeung-Lay-Wah J A, Qi A, McNeill E et al. New-onset sustained ventricular tachycardia and fibrillation early after cardiac operations.  Ann Thorac Surg. 2004;  77 2083-2088