Bilateral Cardiac Sympathectomy and Extrapericardial Coil Implantation for the Management of Electrical Storm

Abstract

We present a novel multidisciplinary approach for the treatment of electrical storm combining bilateral cardiac sympathectomy, extrapericardial coil insertion, and implantable cardioverter defibrillator upgrade in a patient with nonischemic cardiomyopathy and ventricular arrhythmias refractory to conventional therapies. (Level of Difficulty: Advanced.).

Keywords: AAD, antiarrhythmic drug; ATP, antitachycardia pacing; CSD, cardiac sympathetic denervation; ICD, implantable cardioverter-defibrillator; OHCA, out-of-hospital cardiac arrest; VA, ventricular arrythmia; VT, ventricular tachycardia; cardiac transplant; chronic heart failure; electrophysiology; ventricular tachycardia.