Gutiérrez Oswaldo, Garita Elliot, Salazar Carlos
Int J Cardiol. 2007 Jul 10;119(2):255-7. doi: 10.1016/j.ijcard.2006.07.138. Epub 2006 Oct 31.
Management of complex ventricular arrhythmias due to chagasic myocarditis is challenging. We herein present the case of a young male who was presented with incessant well tolerated polymorphic ventricular tachycardia of unknown cause, who was unresponsive to conventional medical management and as a last resort was submitted to a thoracoscopic bilateral sympathectomy, and showed remarkable improvement in his arrhythmia control. Later on his tests returned positive for Chagas' disease and shortly thereafter he suddenly died.
恰加斯病性心肌炎所致复杂室性心律失常的管理具有挑战性。我们在此报告一例年轻男性病例，该患者出现原因不明的持续性、耐受性良好的多形性室性心动过速，对传统药物治疗无反应，作为最后手段接受了胸腔镜双侧交感神经切除术，心律失常控制情况有显著改善。后来他的检查显示恰加斯病呈阳性，此后不久他突然死亡。
