Ir J Med Sci (2017) 186:607–613 DOI 10.1007/s11845-017-1577-0 ORIGINAL ARTICLE Left cardiac sympathetic denervation: case series and technical report 1 1 1 2 1 • • • • • C. McNamara P. Cullen M. Rackauskas R. Kelly K. E. O’Sullivan 3 1,2 J. Galvin D. Eaton Received: 22 July 2016 / Accepted: 2 February 2017 / Published online: 25 February 2017 Royal Academy of Medicine in Ireland 2017 Abstract greatly and remain well at follow-up (one inappropriate Background Left cardiac sympathetic denervation (LCSD) sinus tachycardia and one CPVT). One patient with idio- is a surgical procedure that has been shown to have an pathic ventricular ﬁbrillation unfortunately passed away antiarrhythmic and antiﬁbrillatory effect. Evidence indi- from intractable VF despite all attempts at resuscitation. cating its antiarrhythmic effect has been available for over Conclusion In this case series, we highlight that LCSD 100 years. It involves the removal of the lower half of the provides a critical adjunct to existing medical therapies and stellate ganglion and T2–T4 of the sympathetic ganglia and should be considered for all patients with life-threatening is carried out as either a unilateral or bilateral procedure. refractory arrhythmias especially those patients on maxi- With advancements in
Irish Journal of Medical Science (1971 -) – Springer Journals
Published: Feb 25, 2017
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