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IR@PKUHSC  > 北京大学第二临床医学院  > 胸外科  > 期刊论文
学科主题: 临床医学
题名:
Video-assisted thoracoscopic sympathectomy for congenital long QT syndromes
作者: Li, JF; Wang, LX; Wang, J
关键词: long QT syndrome ; arrhythmia ; electrophysiology ; video-assisted thoracoscopy ; sympathectomy
刊名: PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
发表日期: 2003-04-01
卷: 26, 期:4, 页:870-873
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Cardiac & Cardiovascular Systems ; Engineering, Biomedical
研究领域[WOS]: Cardiovascular System & Cardiology ; Engineering
关键词[WOS]: DENERVATION ; THERAPY
英文摘要:

The feasibility, safety, and effectiveness of video-assisted thoracoscopic sympathectomy (VATS) for congenital long QT syndrome were assessed in four patients who had frequent syncopal events before the surgeries. Under general anaesthesia, the pleural cavity was entered via two small incisions in the left third and fifth intercostal spaces at the mid-axillary line. The left thoracic sympathetic chain was identified and resected from T2-T5. The lower one third of the left stellate ganglion was also resected. VATS resulted in a significant shortening in corrected QT intervals (QTc) in three patients, the average QTc of the four patients immediately before and after VATS was 538 +/- 76 and 512 +/- 57 ms, respectively (P = 0.047). The heart rate remained unchanged after the VATS (67 +/- 4 vs 69 +/- 4 beats/min, P > 0.05). There were no major perioperative complications apart from mild ptosis of the left upper eyelid in one patient who recovered in the following days. There was no recurrence in syncopal events after a 3-month follow-up. VATS is a safe and effective technique for left cardiac sympathectomy in patients with congenital long QT syndromes.

语种: 英语
WOS记录号: WOS:000182305200011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/62451
Appears in Collections:北京大学第二临床医学院_胸外科_期刊论文

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作者单位: 1.Peking Univ, Dept Thorac Surg, Peoples Hosp, Beijing 100044, Peoples R China
2.Charles Sturt Univ, Sch Biomed Sci, Wagga Wagga, NSW, Australia

Recommended Citation:
Li, JF,Wang, LX,Wang, J. Video-assisted thoracoscopic sympathectomy for congenital long QT syndromes[J]. PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY,2003,26(4):870-873.
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