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Journal of Interventional Cardiac Electrophysiology

, Volume 19, Issue 3, pp 171–178 | Cite as

Surgery for ventricular tachycardia in patients undergoing surgical ventricular restoration: The Karolinska approach

  • Ulrik SartipyEmail author
  • Anders Albåge
  • Per Insulander
  • Dan Lindblom
INVITED STATE-OF-THE-ART REVIEW

Abstract

This article presents a review on the efficacy of surgical ventricular restoration and direct surgery for ventricular tachycardia in patients with left ventricular aneurysm or dilated ischemic cardiomyopathy. The procedure includes a non-electrophysiologically guided subtotal endocardiectomy and cryoablation in addition to endoventricular patch plasty of the left ventricle. Coronary artery bypass surgery and mitral valve repair are performed concomitantly as needed. In our experience, this procedure yielded a 90% success rate in terms of freedom from spontaneous ventricular tachycardia, with an early mortality rate of 3.8%. A practical guide to the pre- and postoperative management of these patients is provided.

Keywords

Left ventricular reconstruction Surgical ventricular restoration Surgery for ventricular tachycardia Ventricular remodeling Ischemic heart disease Ventricular tachycardia 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Ulrik Sartipy
    • 1
    • 3
    Email author
  • Anders Albåge
    • 1
    • 3
  • Per Insulander
    • 2
  • Dan Lindblom
    • 1
    • 3
  1. 1.Department of Cardiothoracic Surgery and AnesthesiologyKarolinska University HospitalStockholmSweden
  2. 2.Department of CardiologyKarolinska University HospitalStockholmSweden
  3. 3.Department of Molecular Medicine and SurgeryKarolinska InstitutetStockholmSweden

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