SURGICAL ENDOCARDIAL RESECTION FOR THE TREATMENT OF MALIGNANT VENTRICULAR TACHYCARDIA
SURGICAL ENDOCARDIAL RESECTION FOR THE TREATMENT OF MALIGNANT VENTRICULAR TACHYCARDIA
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DOI：
10.1097/00000658-197910000-00005
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发表时间：
1979-01-01
影响因子：
9
通讯作者：
HOROWITZ, LN
中科院分区：
文献类型：
--
作者：
HARKEN, AH;JOSEPHSON, ME;HOROWITZ, LN
方法对12例药物治疗无效的复发性持续性室性心动过速患者行手术治疗。10名男子和2名妇女的年龄从44岁到68岁不等。所有患者在手术前2周至60个月均患有冠状动脉疾病并有心肌梗死记录。血流动力学和血管造影导管检查显示所有患者均存在显著的冠状动脉疾病（平均1.75支血管阻塞> 70%）和心功能不全。8例有前动脉瘤和/或心尖动脉瘤，2例有前外侧动脉瘤，1例有下动脉瘤，1例有无离散动脉瘤的下运动不能。9例患者的动脉瘤累及间隔。射血分数为4 ~ 40%，6例患者被转诊机构认为不能手术。
Methods Twelve consecutive patients with recurrent sustained ventricular tachycardia refractory to medical therapy underwent surgery for control of their ar-rhythmias. Ten men and two women ranged in age from 44 to 68 years. All had coronary artery disease with documented myocardial infarction two weeks to 60 months prior to surgery. Hemodynamic and angiographic catheterization revealed significant coronary artery disease (mean of 1.75 vessels with> 70% obstruction) and asynergy in all patients. Eight had an-terior and/or apical aneurysms, two had antero-lateral aneurysms, one had an inferior aneurysm, and one had inferior akinesis without a discrete aneurysm. In nine patients the aneurysm involved the septum. Ejection fractions ranged from 4 to 40% and sixpa-tients had been considered inoperable bytheir re-ferring institutions.