Korean J Anesthesiol.  2006 Aug;51(2):246-251. 10.4097/kjae.2006.51.2.246.

Paroxysmal Supraventricular Tachycardia during Right Thoracotomy Treated with Anterior-Posterior Paddle Positioned Biphasic Cardioversion: A case report

• Lee JH
• Kim JK
• Lee HD
• Sohn DI
• Lee SY
• Lee SN
• Jang HJ

• KMID: 1936670
• DOI: http://doi.org/10.4097/kjae.2006.51.2.246

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.

Keyword

cardioversion; paroxysmal supraventricular tachycardia; thoracotomy

MeSH Terms

Adenosine
Carcinoma, Squamous Cell
Carotid Sinus
Diabetes Mellitus
Electric Countershock*
Electrocardiography
Humans
Lung
Male
Massage
Middle Aged
Tachycardia, Supraventricular*
Thoracotomy*
Adenosine