A Bridge Through the (Ventricular Tachycardia) Storm: The Role of Continuous Stellate Ganglion Blockade-A Case Report.

The stellate ganglion block (SGB) is a valuable adjunct to treat ventricular arrhythmias (VAs), particularly in cases of electrical storm refractory to conventional management. While single-shot SGB has been studied, the role of continuous SGB remains largely unexplored. An adult patient presented with stroke and acute aortic dissection requiring emergent surgery. Postoperatively, the patient developed recurrent polymorphic ventricular tachycardia (VT) refractory to medical management and multiple cardioversions. A continuous left SGB was performed, and VT storm resolved. This case highlights the successful use of continuous SGB in managing refractory VT storm as a bridge to definitive treatment.