Perioperative management of patients with arrhythmogenic syndromes refractory to medical treatment: A clinical case report.
Family heart diseases related to sudden death are a group of cardiovascular diseases (cardiomyopathies, channelopathies, aortic diseases …) that require familiarity of the anesthesiologist with the perioperative treatment of complex hemodynamic disorders, as well as their surgical treatment.1 We present the case of a 12-year-old man diagnosed with non-obstructive hypertrophic cardiomyopathy (MHNO), after cardiorespiratory arrest (PCR), who underwent video-guided thoracoscopy-guided left sympathectomy (VATS) for frequent syncope, despite pharmacological treatment and implantation of an implantable automatic defibrillator (ICD). Whenever arrhythmic syncope occurs in the setting of familial heart disease, left heart denervation should be considered as the next step in the treatment plan.2.
['Rodríguez Alcalá|C|C|', 'Maestro Borbolla|A|A|', 'Rodríguez Pérez|E|E|', 'Sanabria Carretero|P|P|', 'Reinoso Barbero|F|F|']
D001145:Arrhythmias, Cardiac D002648:Child D017147:Defibrillators, Implantable D006801:Humans D008297:Male D013562:Sympathectomy D013577:Syndrome D016896:Treatment Outcome
Sympathectomy Arrest cardiac Arrhythmogenic hereditary syndromes Autonomic denervation Denervación autonómica Ganglio estrellado Parada cardiocirculatoria Simpatectomía Stellate ganglion Síndromes arritmogénicos familiares Thoracoscopic surgical procedure Toracoscopia