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Left Ventricular Aneurysmectomy Combined with Encircling Endocardial Ventriculotomy for Treatment of Recurrent Sustained Ventricular Tachycardia

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Coronary Artery Surgery
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Abstract

Encircling endocardial ventriculotomy (EEV) as surgical treatment for recurrent sustained ventricular tachycardia (VT) in the setting of coronary artery disease was introduced in 1978 by Guiraudon [1]. Since then this technique has proved to be a highly efficient approach to eradicating enhanced ventricular electrical vulnerability and tachycardiac rhythm disturbances of the reentry type [2–4]. The mechanism of this antiarrhythmic effect is not quite clear; interruption of reentry circuits [1] or initiation of an ischemic injury to the arrhythmogenic tissues [5] are possibilities under discussion.

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References

  1. Guiraudon G, Fontaine G, Frank R, Escande G, Etievent P, Cabrol C (1978) Encircling endocardial ventriculotomy: a new surgical treatment for life threatening ventricular tachycardias resistant to medical treatment following myocardial infarction. Ann Thorac Surg 26: 438–443

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  5. Ungerleider RM, Holman WL, Stanley TE, Lofland GK, Williams JM, Ideker RE, Smith PK, Quick G, Cox JL (1982) EEV for refractory ischemic ventricular tachycardia. I. Electrophysiological effects. J Thorac Cardiovasc Surg 83: 840–849

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© 1984 Springer-Verlag Berlin Heidelberg

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Ostermeyer, J., Breithardt, G., Borggrefe, M., Godehardt, E., Bircks, W. (1984). Left Ventricular Aneurysmectomy Combined with Encircling Endocardial Ventriculotomy for Treatment of Recurrent Sustained Ventricular Tachycardia. In: Unger, F. (eds) Coronary Artery Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69638-1_30

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  • DOI: https://doi.org/10.1007/978-3-642-69638-1_30

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-13264-6

  • Online ISBN: 978-3-642-69638-1

  • eBook Packages: Springer Book Archive

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