Automatic Implantable Cardioverter Defibrillator Management in A Patient with Arrythmogenic Right Ventricular Dysplasia having Prone Thoracic Spine Surgery

A. Hartmann, Christopher; A. Alston, Theodore; Romanelli, Thomas; Qu, Jason; Wang, Jingping

Automatic Implantable Cardioverter Defibrillator Management in A Patient with Arrythmogenic Right Ventricular Dysplasia having Prone Thoracic Spine Surgery

Christopher A. Hartmann, Theodore A. Alston, Thomas Romanelli, Jason Qu, Jingping Wang^*

Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard, Medical School, Boston, MA 02114 USA.

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Identifiers and Pagination:

Year: 2010
Volume: 4
First Page: 22
Last Page: 24
Publisher ID: TOATJ-4-22
DOI: 10.2174/1874321801004010022

Article History:

Received Date: 02/07/2010
Revision Received Date: 21/08/2010
Acceptance Date: 22/09/2010
Electronic publication date: 10/11/2010
Collection year: 2010

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© 2010 Hartmann et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

^* Address correspondence to this author at the Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard, Medical School, Boston, MA 02114 USA; Tel: +1 617 643 2729; Fax: +1 617 726 7536; E-mail: jwang23@partners.org

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.

Keywords: Implantable cardioverter defibrillator, arrythmogenic right ventricular dysplasia, intraoperative management, Prone spine surgery.

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RESEARCH ARTICLE

Automatic Implantable Cardioverter Defibrillator Management in A Patient with Arrythmogenic Right Ventricular Dysplasia having Prone Thoracic Spine Surgery

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