Manuel Lucy, Fong Laura S, Mamo Andrew, Varcoe Ramon, Saw Wilfred, Grant Peter
Department of Cardiothoracic Surgery, Prince of Wales Hospital, Sydney, Australia.
Department of Cardiology, Prince of Wales Hospital, Sydney, Australia.
J Surg Case Rep. 2021 Feb 16;2021(2):rjab012. doi: 10.1093/jscr/rjab012. eCollection 2021 Feb.
Postural orthostatic tachycardia syndrome (POTS) is a variant of cardiovascular autonomic disorder characterised by an excessive heart rate on standing and orthostatic intolerance. We present a rare case of a 38-year-old man who underwent open repair of a thoracoabdominal aortic aneurysm for a chronic Stanford type B aortic dissection whose recovery was complicated by POTS. He received blood transfusions and was commenced on metoprolol, fludrocortisone and ivabradine with significant improvement in his symptoms. Correct assessment of postoperative tachycardia including postural telemetry is the key to identifying this condition and its successful management.
体位性直立性心动过速综合征（POTS）是心血管自主神经功能障碍的一种变体，其特征为站立时心率过快和直立不耐受。我们报告一例罕见病例，一名38岁男性因慢性B型主动脉夹层接受胸腹主动脉瘤开放修复术，其恢复过程因POTS而复杂化。他接受了输血治疗，并开始使用美托洛尔、氟氢可的松和伊伐布雷定，症状有显著改善。对术后心动过速进行正确评估，包括体位遥测，是识别这种疾病及其成功管理的关键。
