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A 7-year-old boy with complex congenital heart disease characterized by double outlet right ventricle (DORV), ventricular septal defect (VSD), atrial septal defect (ASD), coarctation of the aorta (CoA), and patent ductus arteriosus (PDA) underwent arterial switch surgery (ASO) + VSD repair + ASD repair + PDA ligation + CoA correction surgery 6 years ago. During a recent follow-up, echocardiography demonstrated supravalvular aortic anastomosis stenosis. The patient was scheduled for surgical treatment. Malignant arrhythmia occurred during the thoracotomy, which was successfully managed and quickly returned to normal. For patients undergoing re-thoracotomy, the key to anesthetic management should focus on the prevention and preparation for various potential accidents and quick response to these emergent accidents.

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Anesthetic Management of Malignant Arrhythmia during Re-thoracotomy

  • 章节

  • 发表日期：

    2025年

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  • Yingying Tao

摘要

A 7-year-old boy with complex congenital heart disease characterized by double outlet right ventricle (DORV), ventricular septal defect (VSD), atrial septal defect (ASD), coarctation of the aorta (CoA), and patent ductus arteriosus (PDA) underwent arterial switch surgery (ASO) + VSD repair + ASD repair + PDA ligation + CoA correction surgery 6 years ago. During a recent follow-up, echocardiography demonstrated supravalvular aortic anastomosis stenosis. The patient was scheduled for surgical treatment. Malignant arrhythmia occurred during the thoracotomy, which was successfully managed and quickly returned to normal. For patients undergoing re-thoracotomy, the key to anesthetic management should focus on the prevention and preparation for various potential accidents and quick response to these emergent accidents.