Left Thoracic Sympathetic Ganglionectomy with Thoracoscope for the Treatment of the Long QT Syndrome: A case report / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 766-769, 2000.
Article
in Korean
| WPRIM
| ID: wpr-224642
ABSTRACT
The long QT syndromes have been classified into acquired or inheritary forms, both of which are associated with a characteristic type of life-threatening polymorphic ventricular tachycardia called torsade de points. Beta-adrenergic blocker is the first cholic treatment, but in those whom cardiac events are not prevented by beta - blockade, left thoracic sympathetic ganglionectomy may be useful in selected cases. A 50-year-old woman had an recurrent syncopal attack in which she was unconscious for 1-2 min and 1-2 times a month for 10 years. The EKG revealed that QT & QTc intervals were 744 and 632 msec respectively. Treatment with Beta-adrenergic blocker and calcium channel blocker was ineffective in preventing recurrence of syncopal spell. Therefore, she underwent left thoracic sympathetic ganglionectomy with thoracoscope. During the 9 months after operation, she was free of syncopal episodes and is doing well.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Syncope
/
Long QT Syndrome
/
Calcium Channels
/
Ganglionectomy
/
Tachycardia, Ventricular
/
Thoracoscopes
/
Electrocardiography
Limits:
Female
/
Humans
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2000
Type:
Article
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