[Treatment of ventricular tachycardia with bypass surgery. A case report].
We report on a 45-year-old man with a 4-year-old myocardial infarction and a history of recurrent syncopes. A monomorphic ventricular tachycardia was inducible during electrophysiologic study. After coronary bypass-grafting ventricular tachycardia was no longer inducible. The patient is now, 6 months after surgery, and without antiarrhythmic drugs, free from recurrence of syncope and has had no spontaneous tachycardia event. Treatment with antiarrhythmic drugs, endocardial resection, and the implantable cardioverter-defibrillator are well established approaches to fight sudden cardiac death. The role of coronary artery bypass-grafting alone in the prevention or suppression of malignant ventricular arrhythmias is debatable, especially in cases of monomorphic ventricular tachycardia. Some of these high-risk patients may well be protected by coronary artery bypass grafting alone.
Reek
S
S
Klinik für Kardiologie, Angiologie, Pulmologie, Universitätsklinik, Otto-von-Guericke, Madeburg.
Klein
H
H
Huth
C
C
D002304:Cardiac Pacing, Artificial; D001026:Coronary Artery Bypass; D015716:Electrocardiography, Ambulatory; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology; D013575:Syncope / Q000209:etiology; D017180:Tachycardia, Ventricular / Q000503:physiopathology / Q000601:surgery*
Behandlung einer ventrikulären Tachyarrhythmie durch Bypass-Chirurgie. Ein Fallbericht.