Doig J C, Nimkhedkar K, Bourke J P, McComb J M, Hilton C J, Furniss S S, Campbell R W
University Department of Cardiology, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
Pacing Clin Electrophysiol. 1991 Nov;14(11 Pt 2):1971-5. doi: 10.1111/j.1540-8159.1991.tb02800.x.
Right ventricular disarticulation is a radical operation to control ventricular arrhythmias in patients with arrhythmogenic right ventricular dysplasia. This report describes the acute and chronic hemodynamic impact of the procedure based on our experience of five patients with life-threatening arrhythmias unresponsive to medical therapy who have undergone total disarticulation of the right ventricle. Although all patients suffered acute postoperative hemodynamic problems, all survived and returned to an excellent functional class. Right ventricular disarticulation should be considered in patients with drug refractory ventricular tachycardias due to arrhythmogenic right ventricular dysplasia when the arrhythmia either poses a life threat or results in chronic morbidity.
右心室离断术是治疗致心律失常性右心室发育不良患者室性心律失常的一种根治性手术。本报告基于我们对5例药物治疗无效的危及生命心律失常患者进行右心室完全离断术的经验，描述了该手术对急性和慢性血流动力学的影响。尽管所有患者术后均出现急性血流动力学问题，但均存活下来并恢复到极佳的功能状态。对于因致心律失常性右心室发育不良导致药物难治性室性心动过速且心律失常对生命构成威胁或导致慢性发病的患者，应考虑行右心室离断术。
