• Shih-Chieh Yang, Chih-Cheng Wu, and Yun-Jui Hsieh.
• Taichung Veterans General Hospital, Department of Anesthesiology, 1650 Taiwan Boulevard Sect. 4, Taichung 40705, Taiwan ROC.
• Medicine (Baltimore). 2019 Nov 1; 98 (44): e17790e17790.

RationaleStellate Ganglion Block (SGB) provides a blockade of sympathetic signals from the sympathetic chain and appears to be a promising method of controlling refractory ventricular arrhythmias, but there are scanty data in the literature.Patient ConcernsHerein, we describe a 59-year-old male patient with a history of non-ischemic cardiomyopathy and suffering from frequent VT episodes, who received ICD implantation and regular amiodarone medication control.DiagnosesMonomorphic VT refractory to standard medication control and focal extensive catheter ablation.InterventionsLeft Stellate Ganglion Block (LSGB) was performed under ultrasound-assisted injection at the C6 level using a 10 ml solution of 0.4% lidocaine and 0.5% bupivacaine.OutcomesIn our case, refractory VT subsided and sinus rhythm was retained immediately after LSGB. There were no VT episodes for at least 3 hours during the inter-hospital transfer, which did not involve any specific complications.LessonsLSGB may provide effective VT control and play an important role in rescue and bridge therapy before catheter ablation.

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