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Bilateral cardiac sympathetic denervation on an ECMO patient for refractory ventricular arrhythmia: A case report
Akram E Farran1, Daniel Farinas Lugo2, Joseph Boyer3
1Florida State University College of Medicine, Florida State University, Tallahassee, Florida, USA.
Insights
Brugada syndrome can cause deadly arrhythmias. Cardiac sympathetic denervation effectively treated a patient with refractory ventricular arrhythmias, offering a new treatment option for this condition.
Area of Science:
- Cardiology
- Electrophysiology
- Surgical Innovation
Background:
- Brugada syndrome is a genetic disorder associated with lethal ventricular arrhythmias.
- Refractory ventricular arrhythmias pose a significant clinical challenge, often requiring advanced interventions.
- Cardiac sympathetic denervation has emerged as a potential therapeutic strategy for managing these arrhythmias.
Abstract:
Genetic syndrome such as Brugada syndrome can lead to lethal ventricular arrhythmias. Cardiac sympathetic denervation has been shown to be effective in ameliorating refractory ventricular arrhythmias. We present a 33-year-old black female with a medical history of Brugada syndrome with an implantable cardiac defibrillator who presented with refractory ventricular tachycardia leading to cardiogenic shock, requiring extracorporeal membrane oxygenation. The patient subsequently underwent bilateral stellate ganglion sympathetic denervation in the setting of refractory ventricular arrhythmias. We present this case report to showcase that thoracoscopic bilateral cardiac sympathetic denervation can be an effective treatment option for ventricular arrhythmias refractory to medical management.
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