title: [Surgical treatment of paroxysmal ventricular tachycardia (personal observations)].
abstract: 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.
authors.affiliation: Katedry i Klinik Kardiochirugii Sl. A.M. w Zabrzu i Katowicach.
authors.forename: M
authors.initials: M
authors.lastname: Zembala
authors.forename: Z
authors.initials: Z
authors.lastname: Religa
authors.forename: A
authors.initials: A
authors.lastname: Bochenek
authors.forename: P
authors.initials: P
authors.lastname: Buszman
authors.forename: M
authors.initials: M
authors.lastname: Trusz-Gluza
authors.forename: A
authors.initials: A
authors.lastname: Wnuk-Wojnar
authors.forename: S
authors.initials: S
authors.lastname: Pasyk
authors.forename: L
authors.initials: L
authors.lastname: Giec
authors.forename: J
authors.initials: J
authors.lastname: Moll
authors.forename: S
authors.initials: S
authors.lastname: Woś
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013614:Tachycardia, Paroxysmal / Q000601:surgery*
vernacular_title: Chirurgiczne leczenie napadowego czestoskurczu komorowego (doświadczenia wļasne).