Successful management of cardiac electrical storm after aortic valve replacement using stellate ganglion block: a case report
Abstract Cardiac electrical storm (CES) is a life-threatening state of electrical instability characterized by 3 or more episodes of sustained ventricular arrhythmia within 24 h. The application of stellate ganglion block for the treatment of cardiac surgery has rarely been reported. Herein, we repo...
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| Language: | English |
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BMC
2025-07-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-025-03476-w |
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| author | Xinyi Zhang Yi Guo Shuo Chang |
| author_facet | Xinyi Zhang Yi Guo Shuo Chang |
| author_sort | Xinyi Zhang |
| collection | DOAJ |
| description | Abstract Cardiac electrical storm (CES) is a life-threatening state of electrical instability characterized by 3 or more episodes of sustained ventricular arrhythmia within 24 h. The application of stellate ganglion block for the treatment of cardiac surgery has rarely been reported. Herein, we report a patient whose ventricular arrhythmia was completely relieved after receiving a stellate ganglion block. We present a case of a 35-year-old male who underwent aortic valve replacement. The patient who had aortic valve stenosis was scheduled for aortic valve replacement and simultaneous tricuspid valvuloplasty. After sedation was discontinued, malignant arrhythmias recurred. We performed stellate ganglion block for patient. As aresult, the patient achieved a complete resolution of symptoms and successfully resumed a normal productive life one year post-surgery. Stellate ganglion block is a safe and effective treatment for patients with ventricular tachycardia unresponsive to drug therapy following cardiac surgery. |
| format | Article |
| id | doaj-art-baf9a12d6e7943e5b65d9ce0a75aec9d |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-baf9a12d6e7943e5b65d9ce0a75aec9d2025-08-20T04:01:36ZengBMCJournal of Cardiothoracic Surgery1749-80902025-07-012011310.1186/s13019-025-03476-wSuccessful management of cardiac electrical storm after aortic valve replacement using stellate ganglion block: a case reportXinyi Zhang0Yi Guo1Shuo Chang2Department of Adult Cardiac Surgery Intensive Care Unit, Fuwai Yunnan Cardiovascular Hospital, Cardiovascular Hospital Affiliated to Kunming Medical UniversityDepartment of Adult Cardiac Surgery Intensive Care Unit, Fuwai Yunnan Cardiovascular Hospital, Cardiovascular Hospital Affiliated to Kunming Medical UniversityDepartment of Cardiac Intensive Care Unit, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical SciencesAbstract Cardiac electrical storm (CES) is a life-threatening state of electrical instability characterized by 3 or more episodes of sustained ventricular arrhythmia within 24 h. The application of stellate ganglion block for the treatment of cardiac surgery has rarely been reported. Herein, we report a patient whose ventricular arrhythmia was completely relieved after receiving a stellate ganglion block. We present a case of a 35-year-old male who underwent aortic valve replacement. The patient who had aortic valve stenosis was scheduled for aortic valve replacement and simultaneous tricuspid valvuloplasty. After sedation was discontinued, malignant arrhythmias recurred. We performed stellate ganglion block for patient. As aresult, the patient achieved a complete resolution of symptoms and successfully resumed a normal productive life one year post-surgery. Stellate ganglion block is a safe and effective treatment for patients with ventricular tachycardia unresponsive to drug therapy following cardiac surgery.https://doi.org/10.1186/s13019-025-03476-wCardiac electrical stormStellate ganglion blockAortic valve replacement |
| spellingShingle | Xinyi Zhang Yi Guo Shuo Chang Successful management of cardiac electrical storm after aortic valve replacement using stellate ganglion block: a case report Journal of Cardiothoracic Surgery Cardiac electrical storm Stellate ganglion block Aortic valve replacement |
| title | Successful management of cardiac electrical storm after aortic valve replacement using stellate ganglion block: a case report |
| title_full | Successful management of cardiac electrical storm after aortic valve replacement using stellate ganglion block: a case report |
| title_fullStr | Successful management of cardiac electrical storm after aortic valve replacement using stellate ganglion block: a case report |
| title_full_unstemmed | Successful management of cardiac electrical storm after aortic valve replacement using stellate ganglion block: a case report |
| title_short | Successful management of cardiac electrical storm after aortic valve replacement using stellate ganglion block: a case report |
| title_sort | successful management of cardiac electrical storm after aortic valve replacement using stellate ganglion block a case report |
| topic | Cardiac electrical storm Stellate ganglion block Aortic valve replacement |
| url | https://doi.org/10.1186/s13019-025-03476-w |
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