A Case of Aborted Sudden Cardiac Death and Consequent Extreme Electrical Storm Secondary to a Metastatic Cardiac Tumor
Article first published online: 17 NOV 2010
©2010, The Authors. Journal compilation ©2010 Wiley Periodicals, Inc.
Pacing and Clinical Electrophysiology
Volume 36, Issue 4, pages e125–e128, April 2013
How to Cite
YUDI, M. and BATRA, R. (2013), A Case of Aborted Sudden Cardiac Death and Consequent Extreme Electrical Storm Secondary to a Metastatic Cardiac Tumor. Pacing and Clinical Electrophysiology, 36: e125–e128. doi: 10.1111/j.1540-8159.2010.02958.x
- Issue published online: 2 APR 2013
- Article first published online: 17 NOV 2010
- Manuscript Revised: 16 MAY 2012
- Manuscript Accepted: 8 SEP 2010
- Manuscript Received: 13 APR 2010
We report a 43-year-old man with an implantable cardioverter defibrillator for aborted sudden cardiac death. He represents in extreme electrical storm with 111 different ventricular fibrillation episodes. Successful treatment was achieved with multiple antiarrhythmic agents, mechanical ventilation, external shocks, and ultimately overdrive pacing. A cardiac magnetic resonance scan revealed two cardiac lesions that were later diagnosed as metastatic fibrosarcoma. This case highlights two very important and increasingly common cardiological dilemmas: the management of extreme electrical storm and the role of magnetic resonance imaging in aborted cardiac death patients with an apparent “normal” heart.