Concomitant bilateral video-assisted thoracoscopic sympathectomy and minimal-invasive left ventricular assist device implantation

Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case Series

“…They usually occur in patients with heart failure, ischaemic heart disease, hereditary long QT syndrome and catecholaminergic polymorphic ventricular tachycardia syndrome, among others. [ 1 , 2 ] These are among the main causes of sudden death in heart disease, with between 50% and 70% requiring medical, pharmacological, electrophysiological and sometimes surgical management. [ 3 ]…”

“…They usually occur in patients with heart failure, ischaemic heart disease, hereditary long QT syndrome and catecholaminergic polymorphic ventricular tachycardia syndrome, among others. 1,2 These are among the main causes of sudden death in heart disease, with between 50% and 70% requiring medical, pharmacological, electrophysiological and sometimes surgical management. 3 The American Heart Association provides guidelines for the treatment of VA. 5 Pharmacological therapy includes amiodarone as the drug of choice for patients with structural heart disease or left-ventricular dysfunction, with lidocaine or mexiletine as second-line agents.…”