Abstract：
UNASSIGNED: An electrical storm (ES) refers to multiple occurrences of ventricular arrhythmias within a short time. Catheter ablation is a treatment option for ES but can be challenging in unstable cardiovascular patients. We present the case of a 50-year-old patient with poor left ventricular function who experienced ES after emergency coronary artery bypass grafting (CABG). Despite maximal antiarrhythmic therapy, the patient had recurrent ventricular tachycardia and fibrillation (VT/VF), hindering catheter ablation. Elective venoarterial extracorporeal membrane oxygenation (ECMO) support was established, allowing a successful second catheter ablation attempt without complications. The patient was weaned off ECMO the following day and remained in normal sinus rhythm.
摘要：
■电风暴（ES）是指在短时间内多次发生室性心律失常。导管消融是ES的一种治疗选择，但在不稳定的心血管患者中可能具有挑战性。我们介绍了一名50岁的左心室功能较差的患者，该患者在紧急冠状动脉旁路移植术（CABG）后经历了ES。尽管最大限度的抗心律失常治疗，患者有复发性室性心动过速和纤颤（VT/VF），阻碍导管消融。建立了选择性静脉动脉体外膜氧合（ECMO）支持，允许成功进行第二次导管消融尝试而无并发症。患者在第二天断奶，并保持正常的窦性心律。
