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Korean Journal of Anesthesiology 2006;51(2):246-251.
DOI: https://doi.org/10.4097/kjae.2006.51.2.246   
Paroxysmal Supraventricular Tachycardia during Right Thoracotomy Treated with Anterior-Posterior Paddle Positioned Biphasic Cardioversion: A case report.
Ji Heui Lee, Jin Kang Kim, Hyun Do Lee, Dong IL Sohn, So Young Lee, Su Nam Lee, Ho Jo Jang
Department of Anesthesiology and Pain Medicine, Korean Institute of Radiological & Medical Sciences, Seoul, Korea. jiheui@medigate.net
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.
Key Words: cardioversion; paroxysmal supraventricular tachycardia; thoracotomy


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