Tim mạch Việt Đức

Chỉ mục bài viết
Surgery for ventricular tachycardia in patients undergoing surgical ventricular restoration
History
Surgical technique
Results
Discussion
Tất cả các trang

	Discussion

Studies have indicated that patients remain at high risk of ventricular arrhythmias after left ventricular reconstruction [15] and that there is a high incidence of sudden death late after surgery for left ventricular aneurysm without concomitant anti-arrhythmic surgery [16].

Adding direct surgery for VT (cryoablation and endocardiectomy) in patients undergoing SVR, as originally described by Dor [7], does not seem to increase morbidity or mortality [17].

Therefore, it is our conclusion that patients scheduled for SVR should be preoperatively assessed for ventricular arrhythmias.If ventricular tachycardia is present (spontaneous or inducible-only), specific arrhythmia surgery should be performed concomitantly. The postoperative results should be verified by means of electrophysiology studies. If ventricular tachycardia can no longer be induced, the patient should be considered cured in this aspect and implantation of an ICD should be avoided.

	Footnotes

The authors have no potential conflicts of interest to disclose.

	References

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