TY - JOUR
T1 - Sympathectomy for Stabilization of Heart Failure Due to Drug-Refractory Ventricular Tachycardia
AU - Krishnan, Aravind
AU - Suarez-Pierre, Alejandro
AU - Crawford, Todd C.
AU - Zhou, Xun
AU - Russell, Stuart D.
AU - Berger, Ronald D.
AU - Calkins, Hugh
AU - Baumgartner, William A.
AU - Tandri, Harikrishna
AU - Mandal, Kaushik
N1 - Publisher Copyright:
© 2018 The Society of Thoracic Surgeons
PY - 2018/2
Y1 - 2018/2
N2 - We describe the novel use of bilateral cardiac sympathectomy in a woman with end-stage heart failure caused by ventricular tachycardia refractory to standard medical therapy who was under consideration for heart transplantation. Postoperatively, our patient has not experienced any symptoms of ventricular tachycardia, has returned to normal physical activity, and is no longer under consideration for transplantation as a result of the improvement in her cardiac function. Bilateral sympathectomy can be more effective than unilateral sympathectomy or percutaneous stellate ganglion blockade in patients with refractory ventricular tachycardia. Careful patient selection is necessary to identify patients who will benefit most from the procedure.
AB - We describe the novel use of bilateral cardiac sympathectomy in a woman with end-stage heart failure caused by ventricular tachycardia refractory to standard medical therapy who was under consideration for heart transplantation. Postoperatively, our patient has not experienced any symptoms of ventricular tachycardia, has returned to normal physical activity, and is no longer under consideration for transplantation as a result of the improvement in her cardiac function. Bilateral sympathectomy can be more effective than unilateral sympathectomy or percutaneous stellate ganglion blockade in patients with refractory ventricular tachycardia. Careful patient selection is necessary to identify patients who will benefit most from the procedure.
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U2 - 10.1016/j.athoracsur.2017.09.023
DO - 10.1016/j.athoracsur.2017.09.023
M3 - Article
C2 - 29362191
AN - SCOPUS:85041345974
SN - 0003-4975
VL - 105
SP - e51-e53
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 2
ER -