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Surgical Ablation of Ventricular Tachycardia in the Normothermic Heart
Author(s) -
BLAKEMAN BRADFORD P.,
WILBER DAVID,
OLSHANSKY BRIAN,
PIFARRÉ ROQUE
Publication year - 1990
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1990.tb00748.x
Subject(s) - medicine , cryoablation , perioperative , ventricular tachycardia , ablation , tachycardia , cardiology , concomitant , catheter ablation , surgery , anesthesia
Nineteen patients with ventricular tachycardia were subjected to surgery using a normothermic map‐guided approach. Surgical ablation was performed by endocardial resection and cryoablation. Eleven patients had multiple distinct morphologies, and eight patients needed concomitant coronary artery bypass surgery. Seventeen patients survived the perioperative period, and all but one patient had a successful surgical ablation of all documented morphologies. Ventricular tachycardia surgery can be accomplished with the sequential map‐guided approach on the normothermic beating heart, and in this era of the implantable defibrillator should remain a mainstay of the surgical treatment for ventricular tachycardia.