Essential Site Maintenance: Authorea-powered sites will be updated circa 15:00-17:00 Eastern on Tuesday 5 November.
There should be no interruption to normal services, but please contact us at [email protected] in case you face any issues.

loading page

A case of post-STEMI electrical storm with multiple ICD shocks refractory to antiarrhythmic medications, treated successfully with bilateral sympathetic ganglionectomy.
  • +2
  • HangYu Watson,
  • Seher Berzingi,
  • Emily Hendricks,
  • Sittinun Thangjui,
  • Christopher Bianco
HangYu Watson
West Virginia University Department of Medicine

Corresponding Author:[email protected]

Author Profile
Seher Berzingi
West Virginia University Department of Medicine
Author Profile
Emily Hendricks
West Virginia University Department of Medicine
Author Profile
Sittinun Thangjui
West Virginia University Heart and Vascular Institute
Author Profile
Christopher Bianco
West Virginia University Heart and Vascular Institute
Author Profile

Abstract

Electrical storm (ES) is a life-threatening condition that requires a stepwise management approach, including antiarrhythmics, anxiolytics/sedatives, antiadrenergic, and hemodynamic support. In 88% of refractory cases, cardiac sympathetic denervation has proven effective in reducing ventricular tachycardia (VT) burden and ICD shocks. We present a patient with late-presenting ST-elevation myocardial infarction (STEMI), new reduced left ventricular ejection fraction (LVEF), post coronary artery bypass graft (CABG), who experienced recurrent monomorphic VT despite amiodarone, lidocaine, and left stellate ganglion block, who was successfully treated with bilateral video-assist thoracoscopy sympathetic ganglionectomy.