Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Thoracoscopic Left Cardiac Sympathetic Denervation for a Patient with Catecholaminergic Polymorphic Ventricular Tachycardia and Recurrent Implantable Cardioverter-Defibrillator Shocks

  • Yu, Woo-Sik (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Kim, Tae-Hoon (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Suh, Jee Won (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Song, Seunghwan (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Lee, Chang Young (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Joung, Boyoung (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine)
  • Received : 2014.08.05
  • Accepted : 2014.11.18
  • Published : 2015.06.05
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Abstract

A patient presented with loss of consciousness and conversion. During an exercise test, catecholaminergic polymorphic ventricular tachycardia (CPVT) resulted in cardiac arrest. He started taking medication (a beta-blocker and flecainide) and an implantable cardioverter defibrillator (ICD) was inserted, but the ventricular tachycardia did not resolve. Left cardiac sympathetic denervation (LCSD) was then performed under general anesthesia, and the patient was discharged on the second postoperative day without complications. One month after the operation, no shock had been administered by the ICD, and an exercise stress test did not induce ventricular tachycardia. Although beta- blockers are the gold standard of therapy in patients with CPVT, thoracoscopic LCSD is safe and can be an effective alternative treatment option for patients with intractable CPVT.

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References

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  1. Advances in the diagnosis and treatment of catecholaminergic polymorphic ventricular tachycardia vol.27, pp.suppl1, 2015, https://doi.org/10.1017/s1047951116002237