Thoracoscopic sympathectomy for incessant polymorphic ventricular tachycardia in chronic chagasic myocarditis--a case report.
Management of complex ventricular arrhythmias due to chagasic myocarditis is challenging. We herein present the case of a young male who was presented with incessant well tolerated polymorphic ventricular tachycardia of unknown cause, who was unresponsive to conventional medical management and as a last resort was submitted to a thoracoscopic bilateral sympathectomy, and showed remarkable improvement in his arrhythmia control. Later on his tests returned positive for Chagas' disease and shortly thereafter he suddenly died.
Gutiérrez
Oswaldo
O
Garita
Elliot
E
Salazar
Carlos
C
D000328:Adult; D002598:Chagas Cardiomyopathy / Q000150:complications* / Q000601:surgery*; D004562:Electrocardiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D013562:Sympathectomy / Q000379:methods*; D017180:Tachycardia, Ventricular / Q000469:parasitology* / Q000601:surgery*