| Paroxysmal Supraventricular Tachycardia during Right Thoracotomy Treated with Anterior-Posterior Paddle Positioned Biphasic Cardioversion: A case report. |
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Ji Heui Lee, Jin Kang Kim, Hyun Do Lee, Dong IL Sohn, So Young Lee, Su Nam Lee, Ho Jo Jang |
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Department of Anesthesiology and Pain Medicine, Korean Institute of Radiological & Medical Sciences, Seoul, Korea. jiheui@medigate.net |
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| Abstract |
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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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