[Treatment of tachyarrhythmia in a patient with long QT syndrome by autologous heart transplantation and atrial stimulation controlled by the sinoatrial node].
The authors described an operation performed in a female patient aged 37 years who was first examined in 1980. That year she experienced the first ventricular fibrillation episode. The duration of the Q-T interval was 600 msec. She was examined by a comprehensive protocol which enabled coronary abnormalities to be excluded. The operation was made in July 1987 in the Charite Hospital by Dr. Warnke. The operation involved dissection of the nerve connections nearest the heart by cutting the pulmonary artery, aorta, both atria and subsequently suturing by the scheme used in cardiac grafting. The patient rapidly recovered after the surgery. She had a normal Q-T interval and no recurrences of ventricular tachycardias. Following the surgery she displayed disturbances of intraatrial conduction and pacemaker displacement into the lower segments of the right atrium, so she was implanted a DDD-mode pacemaker.
Pfeiffer
D
D
Fiehring
H
H
Warnke
H
H
Pech
N G
NG
D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D006325:Heart Atria / Q000503:physiopathology; D016027:Heart Transplantation; D006801:Humans; D008133:Long QT Syndrome / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D010138:Pacemaker, Artificial; D012849:Sinoatrial Node / Q000503:physiopathology; D016171:Torsades de Pointes / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D014182:Transplantation, Autologous
Lechenie takhiaritmii u bolnoĭ s sindromom udlinennogo intervala Q-T s pomoshch'iu autotransplantatsii serdtsa i stimuliatsii predserdiĭ, upravliaemoĭ sinusovym uzlom.