[Surgical treatment of paroxysmal ventricular tachycardia (personal observations)].
Five patients with recurrent VT/VF resistant to medical treatment were successfully treated surgically. In 3 patients excision of the altered endocardium by Harken's method (endocardial peeling) was done; in 2 of the patients it was preceded by intraoperative electrophysiological study. Two other patients were treated alternatively: a 45-year old patients with post-MI cardiomyopathy had a cardiac transplantation and a 57-year old patient with good left ventricular function an implantation of a automatic cardioverter-defibrillator (AICD). No patient had VT and/or VF during the 14-35 month follow-up. Exercise tolerance improved in all patients. Good short- and longterm results of surgical treatment show that these methods can be effective in treating patients with life-threatening arrhythmias resistant to pharmacological therapy.
Zembala
M
M
Katedry i Klinik Kardiochirugii Sl. A.M. w Zabrzu i Katowicach.
Religa
Z
Z
Bochenek
A
A
Buszman
P
P
Trusz-Gluza
M
M
Wnuk-Wojnar
A
A
Pasyk
S
S
Giec
L
L
Moll
J
J
Woś
S
S
D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013614:Tachycardia, Paroxysmal / Q000601:surgery*
Chirurgiczne leczenie napadowego czestoskurczu komorowego (doświadczenia wļasne).