[Directed sympathetic denervation of the heart--an actual therapeutic method or myth?].
Aimed sympathetic denervation of the heart, i. e. bilateral removal of the stellate ganglion Th 1-Th 3 was used in Czechoslovakia since 1981 in eight patients who were followed up for prolonged periods. The patients were operated on account of angina at rest which caused deterioration of the quality of their lives. In case of extensive affection of the coronary arteries surgical treatment was not feasible and pharmacological treatment did not bring relief. At the time of a five-year check up 7 patients survived. All patients reported relief and their efficiency during ergometry improved. Four of the patients worked for several years. The authors discuss whether the above treatment is still justified.
Janota
M
M
Institut klinické a experimentální medicíny, Praha.
Vrána
M
M
Vanĕk
I
I
Vránová
Z
Z
D000328:Adult; D000787:Angina Pectoris / Q000601:surgery*; D003714:Denervation; D006321:Heart / Q000294:innervation*; D006801:Humans; D008875:Middle Aged; D013233:Stellate Ganglion / Q000601:surgery
Cílená sympatická denervace srdce--aktuální lécebná metoda nebo legenda?