Damasceno Camila Biazussi, Delgado Marina Ayres, Pinheiro Paula Alves, Quadros Isadora Megale
Department of Anesthesia and Pain Medicine, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte/Minhas Gerais, Brazil.
Saudi J Anaesth. 2021 Apr-Jun;15(2):207-209. doi: 10.4103/sja.sja_1014_20. Epub 2021 Apr 1.
Cardiac Sympathetic Denervation (CSD) has been shown to reduce shocks and subsequent pain of implantable cardiac defibrillator (ICD) in patients with heart diseases and recurrent Ventricular Tachycardia (VT) who did not respond properly to oral therapy and ablation. A 68-year-old man who presented an idiopathic dilated cardiomyopathy with impaired ejection fraction was treated for VT. A bilateral cardiac sympathetic denervation was performed under general anesthesia. Patient was extubated in the operating room and transferred to ICU where he presented hypotension. He was discharged after five days and remained symptom-free without any incident of VT during hospital stay. Currently no definite anesthetic management is available to treat such patients. This report discusses an approach that made heart rate control and safe patient discharge possible.
心脏交感神经去神经支配术（CSD）已被证明可减少患有心脏病且对口服治疗和消融治疗反应不佳的复发性室性心动过速（VT）患者植入式心脏除颤器（ICD）的电击次数及后续疼痛。一名68岁男性，患有特发性扩张型心肌病且射血分数受损，因室性心动过速接受治疗。在全身麻醉下进行了双侧心脏交感神经去神经支配术。患者在手术室拔管后转入重症监护病房，在那里出现了低血压。五天后出院，住院期间未出现室性心动过速事件，且无症状。目前尚无明确的麻醉管理方法来治疗此类患者。本报告讨论了一种实现心率控制和患者安全出院的方法。
