Thoracoscopic Cardiac Sympathetic Denervation: Adjunct Therapy for Secondary Prevention of Life-Threatening Ventricular Arrhythmias in Children

Abstract

Thoracoscopic CSD can be safely performed in the neonate and pediatric populations. When utilized with medication therapy, CSD is an effective adjunct in reducing ICD discharges and arrhythmias.

Bilateral cardiac sympathetic denervation in children with long-QT syndrome and catecholaminergic polymorphic ventricular tachycardia

“…Of these, nine patients (60%) were male, and six (40%) were female. Patients' median age was 14 years (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). The patients' data are shown in Table 2.…”

“…In cases where LCSD fails to hamper ventricular arrhythmias, an auxiliary treatment, RCSD, might be an alternative. Research has shown that RCSD lessens cardiac arrhythmia [16,17]. Lin et al [18] reported that three of the six patients had undergone previous LCSD but developed arrhythmia recurrence; RCSD after prior LCSD was effective in suppressing these arrhythmias.…”

“…In our study, alteration in the sweating pattern was spotted in two patients (13.3%); one of them returned to normal after six months. In the literature, the rate of chronic Horner syndrome is 5%, while the rate of temporary signs of Horner syndrome varies from 23% to 48% [9,17,29,30]. It has been suggested that in order to prevent recurrence, the lower half of the stellate ganglion or the lower third of the stellate ganglion and the T1-T4 ganglions must be denervated [31].…”

The effect of the autonomic nervous system on the formation of cardiac arrhythmias in childhood (review)

“…Это было достигнуто либо нейронной аблацией, либо стимуляцией. Нейронная аблация как метод лечения аритмий хорошо зарекомендовала себя при таком заболевании, как синдром удлиненного интервала QT [51][52][53][54].…”