Thoracoscopic Left Cardiac Sympathetic Denervation for a Patient with Catecholaminergic Polymorphic Ventricular Tachycardia and Recurrent Implantable Cardioverter-Defibrillator Shocks
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 inse...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic and Cardiovascular Surgery
2015-06-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2015.48.3.220 |
| Summary: | 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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| ISSN: | 2233-601X 2093-6516 |