Key result
Total intravenous anesthesia averts VT during third molar extraction in a CPVT case.
Why the study?
CPVT poses a grave risk of syncope or cardiac arrest, warranting strategies to mitigate ventricular tachycardia risk during procedures such as tooth extraction.
Does general anesthesia prevent VT onset during oral surgery in a patient with CPVT?
Case Report (n=1)
Does general anesthesia prevent VT onset during oral surgery in a patient with CPVT?
General anesthesia using total intravenous anesthesia can safely avert VT onset during oral surgery in patients with CPVT.
Background Catecholaminergic polymorphic ventricular tachycardia (CPVT), an inheritable arrhythmia, poses a grave risk of syncope or cardiac arrest. Case Presentation A 23‐year‐old female with CPVT history and implantable cardioverter‐defibrillator (ICD) implantation sought tooth extraction of her third molars. She underwent the procedure under general anesthesia to mitigate VT risk. Defibrillation function was temporarily halted during anesthesia induction, managed with total intravenous anesthesia. The postoperative course remained uneventful, obviating defibrillation intervention. Conclusions This case underscores the efficacy of general anesthesia in averting VT onset during oral surgery for CPVT patients, ensuring a safe and uneventful postoperative recovery.
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Kikuta et al. (2024) conducted a case report in Catecholaminergic polymorphic ventricular tachycardia (CPVT) (n=1). General anesthesia (total intravenous anesthesia) was evaluated on Ventricular tachycardia onset during oral surgery. General anesthesia using total intravenous anesthesia successfully averted ventricular tachycardia onset during third molar extraction in a 23-year-old female with CPVT.
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