Paroxysmal Supraventricular Tachycardia during Right Thoracotomy Treated with Anterior-Posterior Paddle Positioned Biphasic Cardioversion: A case report.
10.4097/kjae.2006.51.2.246
- Author:
Ji Heui LEE
1
;
Jin Kang KIM
;
Hyun Do LEE
;
Dong IL SOHN
;
So Young LEE
;
Su Nam LEE
;
Ho Jo JANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Korean Institute of Radiological & Medical Sciences, Seoul, Korea. jiheui@medigate.net
- Publication Type:Case Report
- Keywords:
cardioversion;
paroxysmal supraventricular tachycardia;
thoracotomy
- MeSH:
Adenosine;
Carcinoma, Squamous Cell;
Carotid Sinus;
Diabetes Mellitus;
Electric Countershock*;
Electrocardiography;
Humans;
Lung;
Male;
Massage;
Middle Aged;
Tachycardia, Supraventricular*;
Thoracotomy*
- From:Korean Journal of Anesthesiology
2006;51(2):246-251
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 54-year-old male patient with squamous cell carcinoma of lung was scheduled for right lower lobectomy. He had suffered from diabetes mellitus during 8 years, but his preoperative electrocardiogram was normal sinus rhythm. During right thoracotomy, 2 times of unstable paroxysmal supraventricular tachycardia (PSVT) appeared but returned to normal sinus rhythm by carotid sinus massage. But, third unstable PSVT was not controlled by adenosine and anterior-lateral paddle positioned biphasic cardioversion. We changed anterior-lateral paddle position to anterior-posterior paddle position. And PSVT terminated abruptly and changed to sinus rhythm. So we present a case of unstable PSVT during right thoracotomy and treated with anterior-posterior paddle positioned biphasic cardioversion.
