A Case Report of Elective Bilateral Proximal Intercostal Blocks Used to Prevent Arrhythmia in Catecholaminergic Polymorphic Ventricular Tachycardia-Reference-Cited by-同舟云学术

A Case Report of Elective Bilateral Proximal Intercostal Blocks Used to Prevent Arrhythmia in Catecholaminergic Polymorphic Ventricular Tachycardia

Published:2024-02 Issue:2 Volume:18 Page:e01721
ISSN:2575-3126
Container-title:A&A Practice
language:en
Short-container-title:

Author:

Dubchak Nazar Y.¹,Lojek Andrei S. B.¹,Bell Austin G.²,Cohen Mitchell I.³,Steen Talora L.⁴,Vlassakov Kamen V.⁵

Affiliation:

1. Department of Anesthesiology, Walter Reed National Military Medical Center, Bethesda, Maryland

2. Department of Anesthesiology, Dwight D. Eisenhower Army Medical Center, Augusta, Georgia

3. Department of Pediatric Cardiology, INOVA LJ Murphy Children’s Hospital Fairfax, Falls Church, Virginia

4. Department of Anesthesiology, INOVA Fairfax, Falls Church, Virginia

5. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts.

Abstract

Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an arrhythmogenic disorder characterized by episodes of polymorphic ventricular tachycardia. Clinically, patients who have CPVT present with juvenile sudden death or stress-induced syncope. We present a case of an 18-year-old girl with CPVT resistant to traditional pharmacotherapies. Instead of a typical stellate ganglion block (SGB), the patient underwent bilateral continuous proximal intercostal blocks that successfully inhibited arrhythmogenic events. This therapeutic method may provide an alternative to SGBs and demonstrates proof of concept for an early elective intervention to be included in the diagnostic and therapeutic algorithm for patients with CPVT.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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