Bilateral thoracoscopic sympathectomy for cardiac denervation in pediatric population: Does Kuntz nerve cauterization have an impact on success?


ERTUĞRUL İ., DÖNMEZ Y. N., AYDIN A., AYKAN H. H., Sel K., UYSAL S., ...More

JOURNAL OF CARDIAC SURGERY, vol.36, no.8, pp.2705-2713, 2021 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 8
  • Publication Date: 2021
  • Doi Number: 10.1111/jocs.15652
  • Journal Name: JOURNAL OF CARDIAC SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.2705-2713
  • Keywords: bilateral sympathectomy, catecholaminergic polymorphic ventricular tachycardia, long QT syndrome, sudden cardiac death, video&#8208, assisted thoracoscopic surgery, LONG-QT SYNDROME, POLYMORPHIC VENTRICULAR-TACHYCARDIA, ELECTRICAL STORM, BETA-BLOCKERS, MANAGEMENT, ARRHYTHMIAS, SYSTEM
  • Hacettepe University Affiliated: Yes

Abstract

Introduction Cardiac sympathetic denervation (CSD) is an effective procedure for the treatment of inherited channelopathies. Left CSD has traditionally been recommended as neuromodulation to prevent arrhythmia episodes; however, it is thought that bilateral sympathectomy in combination with Kuntz ablation may have additional effects effective due to the anatomical variability of preganglionic sympathetic fibers. The aim of the study was to share our single-center clinical experience with bilateral thoracoscopic sympathectomy for cardiac denervation in different groups of pediatric patients with malignant arrhythmias.