Anaesthetic management of idiopathic long QT syndrome--a case report.
This report describes the management of a patient with Idiopathic Long QT Syndrome (LQTS). The patient had life-threatening ventricular arrhythmias which did not respond to drug therapy with propranolol and phenytoin. A series of left stellate ganglion blocks were performed to control the arrhythmias. After stabilisation a high left thoracic sympathectomy was performed for a more permanent control of arrhythmias. Perioperative anaesthetic management is described and the usefulness of stellate ganglion block is demonstrated.
Department of Anaesthesia, University of Western Ontario.
L
L
Nair
P S
PS
Tseng
P H
PH
Manninen
W S
WS
Teo
D000328:Adult; D000771:Anesthesia, Intravenous; D005260:Female; D005727:Ganglia, Spinal / Q000187:drug effects; D006801:Humans; D008133:Long QT Syndrome / Q000601:surgery*; D009407:Nerve Block; D013562:Sympathectomy