TY - JOUR
T1 - Extracorporeal Membrane Oxygenation for Protected Catheter Ablation in A Post-Cardiotomy Patient With Electrical Storm
AU - Norawat, Rahul
AU - Maybauer, Marc O.
AU - O’Keeffe, Niall
AU - Vohra, Akbar
N1 - Publisher Copyright:
Copyright © 2024 Copyright: © 2024 Annals of Cardiac Anaesthesia.
PY - 2024/7/1
Y1 - 2024/7/1
N2 - ABSTRACT: An electrical storm (ES) refers to multiple occurrences of ventricular arrhythmias within a short time. Catheter ablation is a treatment option for ES but can be challenging in unstable cardiovascular patients. We present the case of a 50-year-old patient with poor left ventricular function who experienced ES after emergency coronary artery bypass grafting (CABG). Despite maximal antiarrhythmic therapy, the patient had recurrent ventricular tachycardia and fibrillation (VT/VF), hindering catheter ablation. Elective venoarterial extracorporeal membrane oxygenation (ECMO) support was established, allowing a successful second catheter ablation attempt without complications. The patient was weaned off ECMO the following day and remained in normal sinus rhythm.
AB - ABSTRACT: An electrical storm (ES) refers to multiple occurrences of ventricular arrhythmias within a short time. Catheter ablation is a treatment option for ES but can be challenging in unstable cardiovascular patients. We present the case of a 50-year-old patient with poor left ventricular function who experienced ES after emergency coronary artery bypass grafting (CABG). Despite maximal antiarrhythmic therapy, the patient had recurrent ventricular tachycardia and fibrillation (VT/VF), hindering catheter ablation. Elective venoarterial extracorporeal membrane oxygenation (ECMO) support was established, allowing a successful second catheter ablation attempt without complications. The patient was weaned off ECMO the following day and remained in normal sinus rhythm.
KW - Humans
KW - Extracorporeal Membrane Oxygenation/methods
KW - Middle Aged
KW - Catheter Ablation/methods
KW - Tachycardia, Ventricular/therapy
KW - Male
KW - Coronary Artery Bypass/methods
KW - Ventricular Fibrillation/therapy
KW - Postoperative Complications/therapy
UR - http://www.scopus.com/inward/record.url?scp=85197692396&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/9bc5d4bd-bde0-3176-88d1-7969ba43d32e/
U2 - 10.4103/aca.aca_180_23
DO - 10.4103/aca.aca_180_23
M3 - Article
C2 - 38963363
SN - 0971-9784
VL - 27
SP - 256
EP - 259
JO - Annals of cardiac anaesthesia
JF - Annals of cardiac anaesthesia
IS - 3
ER -