Automatic Implantable Cardioverter Defibrillator Management in A Patient with Arrythmogenic Right Ventricular Dysplasia having Prone Thoracic Spine Surgery

Arrhythmogenic right ventricular dysplasia is an inherited condition causing right ventricular structural and functional changes that can manifest by ventricular arrhythmia, heart failure, and sudden death. Therapy is not well de- fined but avoidance of sudden death is a major goal in patients with the disease. Many patients at high risk for ventricular arrhythmia have undergone automatic implantable cardioverter defibrillator (ICD) placement. This case report discusses the intraoperative management of an ICD in a 50-year-old female with a history of arrhythmogenic right ventricular dys- plasia who underwent posterior spinal arthrodesis of T7-L1.