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(Circulation. 1974;50:382.)
© 1974 American Heart Association, Inc.

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The Treatment of Recurrent Ventricular Tachycardia with Bilateral Cervico-Thoracic Sympathetic-Ganglionectomy

A Report of Two Cases

RICHARD LLOYD M.D.¹; ROBERT OKADA M.D.¹; JAMES STAGG M.D.¹; ROBERT ANDERSON M.D.¹; BRACK HATTLER M.D.¹; FRANK MARCUS M.D.¹

¹ From the Sections of Cardiology and Cardiovascular Surgery, Departments of Medicine and Surgery, University of Arizona Medical Center, Tucson, Arizona.

Two patients had bilateral cervico-thoracic sympatho-ganglionectomy for treatment of disabling symptoms due to refractory ventricular tachycardia. In both patients treatment with antiarrhythmic drugs singly, in combination, or together with pacemaker overdrive had been ineffective in controlling this arrhythmia. Both patients had normal coronary arteriograms.

Bilateral thoracic sympathectomy appears to facilitate medical management of ventricular tachycardia in selected patients who are refractory to the usual medical treatment.

Key Words: Refractory ventricular tachycardia • Thoracic sympathectomy • Q-T prolongation and arrhythmias

Submitted on February 1, 1974
Accepted on April 18, 1974

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