A case involving tooth extraction of upper and lower third molars under general anesthesia in a patient with catecholaminergic polymorphic ventricular tachycardia

Background: Catecholaminergic polymorphic ventricular tachycardia (CPVT), an inheritable arrhythmia, poses a grave risk of syncope or cardiac arrest. Case Presentation: A 23-year-old female with CPVT history and implantable cardioverter-defibrillator (ICD) implantation sought tooth extraction of her third molars. She underwent the procedure under general anesthesia to mitigate VT risk. Defibrillation function was temporarily halted during anesthesia induction, managed with total intravenous anesthesia. The postoperative course remained uneventful, obviating defibrillation intervention. Conclusions: This case underscores the efficacy of general anesthesia in averting VT onset during oral surgery for CPVT patients, ensuring a safe and uneventful postoperative recovery.