Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2025; 13(23): 106886
Published online Aug 16, 2025. doi: 10.12998/wjcc.v13.i23.106886
Refractory ventricular fibrillation caused by coronary insufficiency after Bentall procedure: A case report
Min Zhu, Miao-Miao Tang, Rong-Hua Zhou
Min Zhu, Miao-Miao Tang, Rong-Hua Zhou, Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Tang MM collected the patient's clinical data, Zhu M drafted the manuscript, and Zhou RH contributed additional information and critically reviewed the final version of the manuscript.
Informed consent statement: Informed consent was obtained to publish this case report.
Conflict-of-interest statement: No potential conflicts of interest were reported by the authors.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rong-Hua Zhou, MD, Full Professor, Professor, Department of Anesthesiology, West China Hospital of Sichuan University, No. 37 Guoxue Alley, Chengdu 610041, Sichuan Province, China. wr.zhou@hotmail.com
Received: March 11, 2025
Revised: March 31, 2025
Accepted: May 7, 2025
Published online: August 16, 2025
Processing time: 86 Days and 15.7 Hours
Core Tip

Core Tip: Refractory recurrent ventricular fibrillation (VF) is a severe ventricular arrhythmia in cardiac surgery. We present a rare case of refractory VF caused by coronary insufficiency during Bentall procedure. This report underscores the rarity and severity of coronary insufficiency following aortic root reconstruction. Additionally, we review causes and treatment of refractory VF in cardiac surgery and provide a clinical management protocol for refractory VF during cardiac surgery.