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

Authors
 Woo-Sik Yu  ;  Tae-Hoon Kim  ;  Jee won Suh  ;  Seunghwan Song  ;  Chang Young Lee  ;  Boyoung Joung 
Citation
 Korean Journal of Thoracic and Cardiovascular Surgery, Vol.48(3) : 220-224, 2015 
Journal Title
 Korean Journal of Thoracic and Cardiovascular Surgery 
ISSN
 2233-601X 
Issue Date
2015
Keywords
Catecholaminergic polymorphic ventricular tachycardia ; Left cardiac sympathetic denervation
Abstract
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.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165083
Files in This Item:
T999900142.pdf Download
DOI
10.5090/kjtcs.2015.48.3.220
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)
Yonsei Authors
김태훈(Kim, Tae-Hoon) ORCID logo https://orcid.org/0000-0003-4200-3456
서지원(Suh, Jee Won)
송승환(Song, Seung Hwan)
유우식(Yu, Woo Sik)
이창영(Lee, Chang Young)
정보영(Joung, Bo Young) ORCID logo https://orcid.org/0000-0001-9036-7225
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