Ventricular tachycardia surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery is not a mainstay or a preferred method of treatment for ventricular tachycardia. There are some specific scenarios however in which revascularization may be considered, and may help in preventing VT.
Surgery
According to a few studies and opinions, patients with ventricular tachycardia may be considered for surgery (revascularization) if the underlying cause is coronary heart disease and the patient:[1][2][3][4][5]
- Does not respond to antiarrhythmic drug therapy.
- Has had a cardiac arrest in the past, and had monomorphic VT. This is especially desirable in patients who are already being considered for surgical revascularization.
- Has ventricular tachycardia and a disorder that is pathophysiologically related to the VT (such as postoperative tetralogy of Fallot).
- Despite these ideas, revascularization alone has not been shown to prevent VT from recurring.
References
- ↑ Sartipy U, Albåge A, Strååt E, Insulander P, Lindblom D (January 2006). "Surgery for ventricular tachycardia in patients undergoing left ventricular reconstruction by the Dor procedure". Ann. Thorac. Surg. 81 (1): 65–71. doi:10.1016/j.athoracsur.2005.06.058. PMID 16368337.
- ↑ Guiraudon G, Fontaine G, Frank R, Leandri R, Barra J, Cabrol C (November 1981). "Surgical treatment of ventricular tachycardia guided by ventricular mapping in 23 patients without coronary artery disease". Ann. Thorac. Surg. 32 (5): 439–50. doi:10.1016/s0003-4975(10)61775-4. PMID 7305530.
- ↑ Sartipy U, Löfving A, Albåge A, Lindblom D (June 2008). "Surgery for ventricular tachycardia and left ventricular aneurysm provides arrhythmia control". Scand. Cardiovasc. J. 42 (3): 226–32. doi:10.1080/14017430802005240. PMID 18569956.
- ↑ Horowitz LN, Harken AH, Josephson ME, Kastor JA (July 1981). "Surgical treatment of ventricular arrhythmias in coronary artery disease". Ann. Intern. Med. 95 (1): 88–97. doi:10.7326/0003-4819-95-1-88. PMID 7018338.
- ↑ Doenst T, Faerber G, Grandinac S, Kuntze T, Menicanti L, Borger MA, Mohr FW (June 2007). "Surgical therapy of ventricular arrhythmias". Herzschrittmacherther Elektrophysiol. 18 (2): 62–7. doi:10.1007/s00399-007-0561-1. PMID 17646937.