Abstract
Left cardiac sympathetic denervation is a procedure used to prevent ventricular arrhythmias that remain refractory despite medical treatments. This procedure usually involves the resection of the lower side of the stellate ganglion, which is an uncommon surgical technique due to the limited situations in which it can be applied. Here, we report a case of refractory ventricular arrhythmias and a description of its successful treatment with the method of left cardiac sympathetic denervation using video-assisted thoracotomy.
Similar content being viewed by others
References
Li J, Liu Y, Yang F, Jiang G, Li C, Hu D, et al. Video-assisted thoracoscopic left cardiac sympathetic denervation: a reliable minimally invasive approach for congenital long-QT syndrome. Ann Thorac Surg. 2008;86:1955–8.
Meng L, Tseng CH, Shivkumar K, Ajijola O. Efficacy of stellate ganglion blockage in managing electrical storm: a systematic review. JACC Clin Electorophysiol. 2017;3:942–9.
Ellez LJ, Garzon JC, Vinck EE, Castellanos JD. Video-assisted thoracoscopic cardiac denervation of refractory ventricular arrhythmias and electrical storms: a single-center series. J Cardiothorac Surg. 2019. https://doi.org/10.1186/s13019-019-08386.
Hofferberth SC, Cecchin F, Loberman D, Fynn-Thompson F. Left thoracoscopic sympathectomy for cardiac denervation in patients with life-threatening ventricular arrhythmias. J Thorac Cardiovasc Surg. 2014;147:404–9.
McNamara C, Cullen P, Rackauskas M, Kelly R, O’Sullivan KE, Galvin J, et al. Left cardiac sympathetic denervation: case series and technical report. Ir J Med Sci. 2017;186:607–13.
Odero A, Bpzzani A, De Ferrari GM, Schwartz PJ. Left cardiac sympathetic denervation for the prevention of life-threatening arrhythmias: the surgical supraclavicular approach to cervicothoracic sympathectomy. Heart Rhythm. 2010;7:1161–5.
Vaseghi M, Barwad P, Malavassi Corrales FJ, Tandri H, Mathuria N, Shah R, et al. Cardiac sympathetic denervation for refractory ventricular arrhythmias. J Am Coll Cardiol. 2017;69:3070–80.
Acknowledgements
We appreciate Thomas Mayers, Medical English Communications Center, University of Tsukuba, for revision of this manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Supplementary file1 (MPEG 80508 KB)
Rights and permissions
About this article
Cite this article
Yanagihara, T., Kobayashi, N., Saeki, Y. et al. Left thoracoscopic sympathectomy for refractory ventricular arrhythmias. Gen Thorac Cardiovasc Surg 70, 920–923 (2022). https://doi.org/10.1007/s11748-022-01835-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-022-01835-1