Yoshida Toshihito, Naito Yuji, Nishimura Kuniharu
Department of Cardiovascular Center, Hokkaido Social Insurance Hospital, 1-8 Nakanoshima, Toyohira-ku, Sapporo, Hokkaido, 062-8618, Japan.
Gen Thorac Cardiovasc Surg. 2011 Nov;59(11):756-9. doi: 10.1007/s11748-010-0771-z. Epub 2011 Nov 15.
A 57-year-old man who had been receiving chemotherapy for multiple myeloma complained of chest pain and was diagnosed with coronary artery disease. Coronary artery bypass grafting without cardiopulmonary bypass was performed smoothly, and extubation was done in the operating room. The next evening, cluster of ventricular tachycardia and fibrillation triggered by ventricular premature contractions occurred and required multiple electrical defibrillations. Despite intravenous administration of lidocaine, amiodarone, magnesium, and β-blocker, the storm sustained and was suppressed only by temporary ventricular overdrive pacing. He was discharged on foot.
一名57岁接受多发性骨髓瘤化疗的男性患者主诉胸痛，被诊断为冠状动脉疾病。在非体外循环下顺利进行了冠状动脉旁路移植术，并在手术室进行了拔管。术后第二天晚上，出现了由室性早搏触发的室性心动过速和心室颤动簇，需要多次电除颤。尽管静脉注射了利多卡因、胺碘酮、镁剂和β受体阻滞剂，但风暴仍持续，仅通过临时心室超速起搏得以抑制。他步行出院。
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