Asangmbeng Nformbuh V, Okoduwa Dominiq, James Erskine A
Department of Internal Medicine, Navicent Health/Mercer University School of Medicine, Macon, USA.
Department of Cardiology, Navicent Health/Mercer University School of Medicine, Macon, USA.
Cureus. 2020 Jul 9;12(7):e9098. doi: 10.7759/cureus.9098.
Electrical storm (ES) is classified as at least three episodes of ventricular tachycardia (VT) or ventricular fibrillation (VF) in any 24-hour period. Stellate ganglion blockade and left stellate ganglionectomy have shown benefit in terminating ES. A 64-year-old white male with a past medical history of atrial fibrillation, coronary artery disease requiring previous cardiac bypass surgery in 1997, and coronary artery stents in 2003 presented with syncope and refractory ventricular tachycardia/fibrillation. He eventually underwent both an ultrasound-guided left stellate ganglion block and left cardiac sympathetic denervation with left stellate ganglionectomy. In the setting of refractory ES, the left stellate ganglion block followed by left stellate ganglionectomy can be a lifesaving intervention.
电风暴（ES）被定义为在任何24小时内至少发生三次室性心动过速（VT）或室性颤动（VF）发作。星状神经节阻滞和左侧星状神经节切除术已显示出在终止电风暴方面的益处。一名64岁白人男性，既往有房颤病史，1997年因冠状动脉疾病接受过心脏搭桥手术，2003年置入冠状动脉支架，此次因晕厥和难治性室性心动过速/室颤就诊。他最终接受了超声引导下的左侧星状神经节阻滞以及左侧星状神经节切除术的心脏交感神经去神经支配治疗。在难治性电风暴的情况下，先行左侧星状神经节阻滞，随后进行左侧星状神经节切除术可能是一种挽救生命的干预措施。
