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Ventricular tachycardia during repair of gastroschisis
A S Saidi1, R A Friedman, H el Said
1Lillie Frank Abercrombie Section of Pediatric Cardiology, Texas Children's Hospital, Houston 77030, USA.
Insights
Sudden ventricular tachycardia is rare after surgery for gastroschisis. This case highlights a patient who developed drug-resistant ventricular tachycardia during gastroschisis closure.
Area of Science:
- Pediatric surgery
- Cardiology
- Neonatal intensive care
Background:
- Ventricular tachycardia (VT) is a known complication of blunt cardiac trauma.
- Gastroschisis is a congenital abdominal wall defect requiring surgical intervention in neonates.
Observation:
- A neonate with gastroschisis experienced sudden onset of ventricular tachycardia during surgical repair.
- The ventricular tachycardia was medically resistant to standard treatments.
Findings:
- This is the first reported case of sudden ventricular tachycardia during the surgical closure of gastroschisis.
- The event occurred specifically upon reduction of the gastroschisis contents.
Implications:
- This case suggests a potential link between gastroschisis reduction and cardiac arrhythmias.
- Further investigation is warranted to understand the mechanism and prevent such events in neonatal surgery.
- Highlights the importance of cardiac monitoring during gastroschisis repair.
Abstract:
Ventricular tachycardia has been reported after blunt cardiac trauma in both children and adults. However, to the best of our knowledge, there are no reports of sudden onset of ventricular tachycardia at the time of surgical closure of gastroschisis. This case describes a patient with gastroschisis who developed a medically resistant ventricular tachycardia upon reduction of the gastroschisis.