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Thoracoscopic Left Cardiac Sympathetic Denervation for a Patient with Catecholaminergic Polymorphic Ventricular Tachycardia and Recurrent Implantable Cardioverter-Defibrillator Shocks

 Woo-Sik Yu  ;  Tae-Hoon Kim  ;  Jee won Suh  ;  Seunghwan Song  ;  Chang Young Lee  ;  Boyoung Joung 
 Korean Journal of Thoracic and Cardiovascular Surgery, Vol.48(3) : 220-224, 2015 
Journal Title
Korean Journal of Thoracic and Cardiovascular Surgery
Issue Date
Catecholaminergic polymorphic ventricular tachycardia ; Left cardiac sympathetic denervation
A patient presented with loss of consciousness and conversion. During an exercise test, catecholaminergic polymorphic ventricular tachycardia (CPVT) resulted in cardiac arrest. He started taking medication (a beta-blocker and flecainide) and an implantable cardioverter defibrillator (ICD) was inserted, but the ventricular tachycardia did not resolve. Left cardiac sympathetic denervation (LCSD) was then performed under general anesthesia, and the patient was discharged on the second postoperative day without complications. One month after the operation, no shock had been administered by the ICD, and an exercise stress test did not induce ventricular tachycardia. Although beta-blockers are the gold standard of therapy in patients with CPVT, thoracoscopic LCSD is safe and can be an effective alternative treatment option for patients with intractable CPVT.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Tae-Hoon(김태훈) ORCID logo https://orcid.org/0000-0003-4200-3456
Suh, Jee Won(서지원) ORCID logo https://orcid.org/0000-0003-0287-0651
Song, Seung Hwan(송승환)
Yu, Woo Sik(유우식)
Lee, Chang Young(이창영)
Joung, Bo Young(정보영) ORCID logo https://orcid.org/0000-0001-9036-7225
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