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Video-assisted thoracoscopic sympathectomy for congenital long QT syndromes
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
2003-04-01
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
引用统计
被引频次:16[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/62451
专题北京大学第二临床医学院_胸外科
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
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GB/T 7714
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.
APA Li, JF,Wang, LX,&Wang, J.(2003).Video-assisted thoracoscopic sympathectomy for congenital long QT syndromes.PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY,26(4),870-873.
MLA Li, JF,et al."Video-assisted thoracoscopic sympathectomy for congenital long QT syndromes".PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY 26.4(2003):870-873.
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