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Korean Journal of Anesthesiology 1997;32(6):1017-1022.
DOI: https://doi.org/10.4097/kjae.1997.32.6.1017   
An Anesthetic Experience for Automatic Implantable Cardioverter Defibrillator Implantation: A case report.
Hee Jung Jun, Myung Won Cho
1Department of Anesthesiology, Ulsan University College of Medicine, Seoul, Korea.
2Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea.
Abstract
Automatic implantable cardioverter defibrillator(AICD) is a device that senses ventricular tarchycardia and ventricular fibrillation and responses with counter-shocks to the heart. We experienced a case of AICD implantation to prevent sudden cardiac death. A-22-year-old male was operated under O2, N2o, fentanyl, low dose enflurane anesthesia. The diagnosis was familial long QT syndrome. Lead was introduced to the right ventricular apex through left subclavian vein and generator was placed between pectoralis muscles. Then defibrillation threshold testing was performed. Ventricular fibrillation was induced with Twave shock of 3 joule and defibrillation with 5 joule terminated ventricular fibrillation successfully. After ventricular fibrillation, his blood pressure decreased to 30mmHg. When ventricular fibrillation was converted to normal rhythm, it retured to normal range. After operation, patient was transferred to the ICU and stayed there for 3 days.
Key Words: Heart; arrhythmia; fibrillation; defibrillators; AICD


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