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Anaesthetic management of idiopathic long QT syndrome--a case report

Nair, L.; Tseng, P.S.; Manninen, P.H.; Teo, W.S.

Annals of the Academy of Medicine Singapore 23(4): 582-585

1994

ISSN/ISBN: 0304-4602
PMID: 7979136
Document Number: 435518
This report describes the management of a patient with Idiopathic Long QT Syndrome (LQTS). The patient had life-threatening ventricular arrhythmias which did not respond to drug therapy with propranolol and phenytoin. A series of left stellate ganglion blocks were performed to control the arrhythmias. After stabilisation a high left thoracic sympathectomy was performed for a more permanent control of arrhythmias. Perioperative anaesthetic management is described and the usefulness of stellate ganglion block is demonstrated.

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