Sympathectomy for Stabilization of Heart Failure Due to Drug-Refractory Ventricular Tachycardia.


Journal Article

We describe the novel use of bilateral cardiac sympathectomy in a woman with end-stage heart failure caused by ventricular tachycardia refractory to standard medical therapy who was under consideration for heart transplantation. Postoperatively, our patient has not experienced any symptoms of ventricular tachycardia, has returned to normal physical activity, and is no longer under consideration for transplantation as a result of the improvement in her cardiac function. Bilateral sympathectomy can be more effective than unilateral sympathectomy or percutaneous stellate ganglion blockade in patients with refractory ventricular tachycardia. Careful patient selection is necessary to identify patients who will benefit most from the procedure.

Full Text

Duke Authors

Cited Authors

  • Krishnan, A; Suarez-Pierre, A; Crawford, TC; Zhou, X; Russell, SD; Berger, RD; Calkins, H; Baumgartner, WA; Tandri, H; Mandal, K

Published Date

  • February 2018

Published In

Volume / Issue

  • 105 / 2

Start / End Page

  • e51 - e53

PubMed ID

  • 29362191

Pubmed Central ID

  • 29362191

Electronic International Standard Serial Number (EISSN)

  • 1552-6259

Digital Object Identifier (DOI)

  • 10.1016/j.athoracsur.2017.09.023


  • eng

Conference Location

  • Netherlands