Two Patients Scheduled for Noncardiac Surgery Needed Perioperative Management of Automatic Implantable Cardioverter Defibrillator Implantation

Abstract

  Two patients who needed Automatic Implantable Cardioverter Defibrillator (AICD) implantation were scheduled for noncardiac surgery. One patient had Brugada syndrome, in whom AICD implantation preceded the noncardiac surgery, and the other patient had spontaneous ventricular fibrillation associated with dilated cardiomyopathy, in whom noncardiac surgery preceded AICD implantation. We discussed the order of AICD implantation and surgery and also perioperative evaluation and management for these patients.