Thoracoscopic Sympathectomy for Long QT Syndrome. Literature Review and Case Study

Surman, Timothy Luke; Stuklis, Robert; Chan, Justin

doi:10.1016/j.hlc.2018.02.005

Cited by 13 publications

(10 citation statements)

References 20 publications

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“…Persistent CSD is achieved at open surgery (or by video-assisted thoracoscopy) by resecting the lower third to half of the stellate ganglia and the T2 to T4 or T5 thoracic ganglia, as well as transecting the nerve of Kuntz when present ( S9.16.10 ). Potential complications include Horner syndrome, Harlequin syndrome, dyshydrosis, and regional temperature changes ( S9.16.11 , S9.16.12 ). In a series of heterogeneous patients with drug-refractory VA storms undergoing unilateral or bilateral surgical CSD, ICD shocks were reduced by 90% in 90% of the patients, with left CSD less efficient (50% shock free) than bilateral CSD ( S9.16.10 , S9.16.13 , S9.16.14 ).…”

Section: Mapping and Ablationmentioning

confidence: 99%

“…Surgical CSD can be considered for high-risk patients with contraindications for beta blockers, for patients with symptomatic long QT syndrome when beta blockers are not effective, or when ICD therapy is contraindicated or declined ( S9.16.11 , S9.16.12 , S9.16.16 – S9.16.18 ). CSD is associated with a significant reduction of events in patients with high-risk long QT syndrome, with a reported 50%–80% long-term success rate ( S9.16.17 – S9.16.21 ).…”

Section: Mapping and Ablationmentioning

confidence: 99%

“…CSD is associated with a significant reduction of events in patients with high-risk long QT syndrome, with a reported 50%–80% long-term success rate ( S9.16.17 – S9.16.21 ). A significant decrease in QTc duration is usually observed after CSD ( S9.16.11 , S9.16.17 ).…”

Section: Mapping and Ablationmentioning

confidence: 99%

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2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

et al. 2020

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Representative of the European Heart Rhythm Association (EHRA) †Representative of the American College of Cardiology (ACC) ‡Representative of the Sociedade Brasileira de Arritmias Cardíacas (SOBRAC) xRepresentative of the American Heart Association (AHA) {Representative of the Latin American Heart Rhythm Society (LAHRS) #Representative of the Asia Pacific Heart Rhythm Society (APHRS) **Representative of the Japanese Heart Rhythm Society (JHRS) † †Representative of the Pediatric and Congenital Electrophysiology Society (PACES)

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Section: Mapping and Ablationmentioning

confidence: 99%

Section: Mapping and Ablationmentioning

confidence: 99%

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2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

et al. 2020

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“…Shortterm follow-up a G2-G5 sympathectomy revealed reduction in symptoms, no more requirements for beta blocker therapy and reduced QT interval. We now believe that further follow-up using greater patient numbers will support this target area to sympathectomy as an option for surgical management of long QT syndrome (44).…”

Section: Long Qt Syndromementioning

confidence: 90%

Upper extremity sympathectomy

Campos¹,

Kauffman²,

Faustino³

et al. 2018

J. Vis. Surg.

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Hyperhidrosis is a condition in which there is excessive production of sweat that is disproportional to thermoregulation needs and that profoundly hampers the quality of life (QOL) of the population that is affected by it. The disorder is typically limited to the palms, the plantar and craniofacial regions, armpits, and manifests itself in a symmetrical fashion in addition to being associated to family history. At present, sympathectomy is considered the golden standard treatment and there are a number of approaches a surgeon may elect to adopt in its care. The clinical treatment with oxybutynin also improves screening of the group of patients that will benefit the most with this indication. However, the efficacy of the surgical method, what most counts for a successful outcome is the occurrence or not of compensatory hyperhidrosis whose intensity may impact the results. All patients are and must be thoroughly informed of this possibility prior to surgery. For the others indications, is also one of the final approaches necessary for a fruitful treatment.

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“…In case of lack of response to drug treatment or cardiac arrest, the next step is implantation of a cardioverter-defibrillator or left stellate ganglioectomy (LSG) [18]. Side effects of LSG are: intermittent temperature changes, facial flush, decreased sweating on one side and pain.…”

Section: Treatmentmentioning

confidence: 99%

Pediatric cardiology emergencies - the role of Long QT Syndrome among arrhythmias

Zipser¹,

Zienciuk-Krajka²,

Krenska³

et al. 2019

Eur J Trans Clin Med

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Long QT syndrome (LQTS) is a hereditary disease with significant mortality, which might be reduced with appropriate management. This cardiac disorder is regarded as rare, but its prevalence remains unknown. The clinical course of LQTS is variable and syncope is a common first manifestation of LQTS. Therefore in each patient after syncope an ECG should be carried out. However, there is no universal QT value applying to all patients (especially infants and children), because it varies depending on age and sex. Genetic testing can be of great importance for the management of families with LQTS and early identification of patient relatives at risk of developing disease. We aimed to show that a very important part of treatment is not only pharmacotherapy, especially beta-blockers, but change of lifestyle plays a significant role.

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Thoracoscopic Sympathectomy for Long QT Syndrome. Literature Review and Case Study

Cited by 13 publications

References 20 publications

2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

Upper extremity sympathectomy

Pediatric cardiology emergencies - the role of Long QT Syndrome among arrhythmias

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