Left Thoracic Sympathetic Ganglionectomy with Thoracoscope for the Treatment of the Long QT Syndrome: A case report.
- Author:
Nam Ki HONG
;
Tae Eun JUNG
;
Jung Cheul LEE
;
Sung Sae HAN
;
Dong Hyup LEE
- Publication Type:Original Article
- MeSH:
Calcium Channels;
Electrocardiography;
Female;
Ganglionectomy*;
Humans;
Long QT Syndrome*;
Middle Aged;
Recurrence;
Syncope;
Tachycardia, Ventricular;
Thoracoscopes*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2000;33(9):766-769
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The long QT syndromes have been classified into acquired or inheritary forms, both of which are associated with a characteristic type of life-threatening polymorphic ventricular tachycardia called torsade de points. Beta-adrenergic blocker is the first cholic treatment, but in those whom cardiac events are not prevented by beta - blockade, left thoracic sympathetic ganglionectomy may be useful in selected cases. A 50-year-old woman had an recurrent syncopal attack in which she was unconscious for 1-2 min and 1-2 times a month for 10 years. The EKG revealed that QT & QTc intervals were 744 and 632 msec respectively. Treatment with Beta-adrenergic blocker and calcium channel blocker was ineffective in preventing recurrence of syncopal spell. Therefore, she underwent left thoracic sympathetic ganglionectomy with thoracoscope. During the 9 months after operation, she was free of syncopal episodes and is doing well.
