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Arrhythmogenic right ventricular dysplasia is an inherited condition causing right ventricular structural and
functional changes that can manifest by ventricular arrhythmia, heart failure, and sudden death. Therapy is not well defined
but avoidance of sudden death is a major goal in patients with the disease. Many patients at high risk for ventricular
arrhythmia have undergone automatic implantable cardioverter defibrillator (ICD) placement. This case report discusses
the intraoperative management of an ICD in a 50-year-old female with a history of arrhythmogenic right ventricular dysplasia
who underwent posterior spinal arthrodesis of T7-L1.