Lawrie G M, Pacifico A, Kaushik R
Cora and Webb Mading Department of Surgery, Baylor College of Medicine, Houston, Texas 77030.
Ann Surg. 1989 Jun;209(6):716-27. doi: 10.1097/00000658-198906000-00009.
Surgical treatment of sustained ventricular tachycardia due to nonischemic causes is uncommon. Nonischemic ventricular tachycardia was treated in 14 patients by map-directed surgical ablation of an arrhythmogenic site. There were 9 male and 5 female patients. The mean age was 33 +/- 13.4 years (range, 15 to 57 years). The etiology was idiopathic in 4 patients, cardiomyopathy in 3, acute myocarditis in 1, arrhythmogenic right ventricular dysplasia in 2, tumor in 1, postoperative Tetralogy of Fallot in 2, and acute bacterial endocarditis in 1. Pre- and/or intraoperative electrophysiologic mapping was achieved in 13 of 14 patients. A variety of operations were performed without death. Two late deaths have occurred, neither of them, however, from arrhythmias. After operation two patients had recurrent arrhythmias. Surgery for nonischemic ventricular tachycardia is safe and effective and should be considered early in the course of these mostly young patients.
非缺血性病因所致持续性室性心动过速的外科治疗并不常见。14例非缺血性室性心动过速患者接受了针对心律失常起源部位的标测引导下手术消融治疗。其中男性9例，女性5例。平均年龄为33±13.4岁（范围15至57岁）。病因包括特发性4例、心肌病3例、急性心肌炎1例、致心律失常性右室发育不良2例、肿瘤1例、法洛四联症术后2例、急性细菌性心内膜炎1例。14例患者中有13例在术前和/或术中进行了电生理标测。实施了多种手术，无死亡病例。发生了2例晚期死亡，但均非心律失常所致。术后2例患者出现心律失常复发。非缺血性室性心动过速的手术治疗安全有效，对于这些大多为年轻患者，应在病程早期考虑手术治疗。
