초록접수 현황
| 14F-073 | 포럼 발표 |
Mid-term Results of Thoracoscopic Left Cardiac Sympathetic Denervation for Catecholaminergic Polymorphic Ventricular Tachycardia
Kwon Joong Na, Chang Hyun Kang, Samina Park, Jin San Bok, Jinho Choi, Yoo Hwa Hwang, Hyun Joo Lee, In Kyu Park, Young Tae Kim
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
Background : To evaluate mid-term results of thoracoscopic left cardiac sympathetic denervation (TCSD) in patients with catecholaminergic polymorphic tachycardia (CPVT)
Methods : A retrospective review was performed for all patients who underwent TCSD for CPVT from January 2009 to August 2014, and eleven patients (mean age 14.2±4.1 years) were included in this study. All patients were symptomatic despite of maximal medical therapy. All patients (100%) had syncope event and five patients (45.5%) had cardiac arrest
Results : Two patients underwent sympathectomy, and nine patients underwent sympathicotomy for TCSD. Mean operative time was 41.8±14.0 minutes and there was no intraoperative complication. Mean hospital stays was 5.5 days, and three patients spent one day at ICU on immediate postoperative period. There was no mortality and Horner syndrome occurred in one patient. Follow-up was available in all patients, and mean follow-up duration was 30.9±19.6 (1-56) months. During the follow-up period, ten patients (90.9%) remained asymptomatic and eight (72.7%) patients showed rare ventricular rhythm (<1%) on postoperative Holter monitoring. One patient who had ICD implantation before the operation experienced one syncopal event under emotional stress, few months after denervation procedure
Conclusion : The present study demonstrated that TCSD can be performed safely and showed favorable mid-term outcome in patients with CPVT. Therefore, it should be strongly considered in patients with CPVT who are refractory to maximal medical therapy
Methods : A retrospective review was performed for all patients who underwent TCSD for CPVT from January 2009 to August 2014, and eleven patients (mean age 14.2±4.1 years) were included in this study. All patients were symptomatic despite of maximal medical therapy. All patients (100%) had syncope event and five patients (45.5%) had cardiac arrest
Results : Two patients underwent sympathectomy, and nine patients underwent sympathicotomy for TCSD. Mean operative time was 41.8±14.0 minutes and there was no intraoperative complication. Mean hospital stays was 5.5 days, and three patients spent one day at ICU on immediate postoperative period. There was no mortality and Horner syndrome occurred in one patient. Follow-up was available in all patients, and mean follow-up duration was 30.9±19.6 (1-56) months. During the follow-up period, ten patients (90.9%) remained asymptomatic and eight (72.7%) patients showed rare ventricular rhythm (<1%) on postoperative Holter monitoring. One patient who had ICD implantation before the operation experienced one syncopal event under emotional stress, few months after denervation procedure
Conclusion : The present study demonstrated that TCSD can be performed safely and showed favorable mid-term outcome in patients with CPVT. Therefore, it should be strongly considered in patients with CPVT who are refractory to maximal medical therapy
책임저자: 강창현
서울대학교 의과대학 서울대학교병원 흉부외과학교실
연락처 : 나권중, Tel: 02-2072-2343 , E-mail : kjna85@gmail.com
