Anaesthetic Management of Rare Case of Arrhythmogenic Right Ventricular Dysplasia (ARVD) with Fracture Patella under Combined Sciatic Femoral Nerve Block

Author: Sheetal Dalal* and Pranav Thote

Department of Anaesthesiology, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India

Abstract

          Arrhythmogenic right ventricular dysplasia (ARVD) is a rare but severe familial disease, with autosomal dominant inheritance and polymorphic phenotype expression. Its prevalence is estimated to be approximately 1 in 5000. Sporadic cases have been described in young adults and children with no clinically apparent cardiac disorders who experienced exercise-induced sudden deaths and complex ventricular arrhythmias. Antiarryhthmic drugs therapy is the first step of treatment, but the severity of ventricular tachycardia may necessitate surgical or 45yr old male patient with ARVD with fracture patella done under lower limb block successfully. The aim of this case presentation to describe clinical characteristics & anaesthetic specifies in the management of ARVD & how we managed case of ARVD with fracture patella & combined sciatic femoral nerve block was proven to be boon in such scenario.


Sheetal Dalal*
Department of Anaesthesiology, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
Article Type : Case Studies
Date : 2019-07-21
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