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

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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.

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, SE-171 76, Stockholm, Sweden

    Ulrik Sartipy, Anders Albåge & Dan Lindblom

  2. Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden

    Per Insulander

  3. Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden

    Ulrik Sartipy, Anders Albåge & Dan Lindblom

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  1. Ulrik Sartipy
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  2. Anders Albåge
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Correspondence to Ulrik Sartipy.

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Sartipy, U., Albåge, A., Insulander, P. et al. Surgery for ventricular tachycardia in patients undergoing surgical ventricular restoration: The Karolinska approach. J Interv Card Electrophysiol 19, 171–178 (2007). https://doi.org/10.1007/s10840-007-9152-7

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  • DOI: https://doi.org/10.1007/s10840-007-9152-7

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