Perioperative management of patients with arrhythmogenic syndromes refractory to medical treatment: A clinical case report

Abstract

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 treatment¹. We present the case of a 12-year-old man diagnosed with non-obstructive hypertrophic cardiomyopathy, after cardiorespiratory arrest, who underwent video-guided thoracoscopy-guided left sympathectomy for frequent syncope, despite pharmacological treatment and implantation of an implantable automatic defibrillator. Whenever arrhythmic syncope occurs in the setting of familial heart disease, left heart denervation should be considered as the next step in the treatment plan².

Keywords: Arrest cardiac; Arrhythmogenic hereditary syndromes; Autonomic denervation; Denervación autonómica; Ganglio estrellado; Parada cardiocirculatoria; Simpatectomía; Stellate ganglion; Sympathectomy; Síndromes arritmogénicos familiares; Thoracoscopic surgical procedure; Toracoscopia.