Endocardial Surgery for Ventricular Tachycardia: The Inside Story
Authors: TOBY R. ENGEL
Journal: Annals of Internal Medicine (1981)

Editorial Notes1 March 1981Endocardial Surgery for Ventricular Tachycardia: The Inside StoryTOBY R. ENGEL, M.D.TOBY R. ENGEL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-94-3-402 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRecurrent ventricular tachycardia from ventricular aneurysm or scars has been reported more frequently in recent years. This rising frequency probably reflects a growing number of patients who have survived coronary accidents because of improved out-of-hospital resuscitation from sudden death, better drug treatment of infarcts, and surgery for angina. But their ventricular tachycardias are difficult to treat; drugs often do not prevent recurrence (1-3).As will be reviewed by Horowitz and colleagues (4) in a subsequent issue of this journal, routine coronary artery bypass and aneurysmectomy has failed to prevent recurrence of ventricular tachycardia more often than not. These failures probably...References1. MASONWINKLE JR. Accuracy of the ventricular tachycardia-induction study for predicting long-term efficacy and inefficicacy of antiarrhythmic drugs. N Engl J Med. 1980;303:1073-7. CrossrefMedlineGoogle Scholar2. HOROWITZJOSEPHSONFARSHIDISPIELMANMICHELSONGREENSPAN LMASEA. Recurrent sustained ventricular tachycardia: 3. Role of the electrophysiologic study in selection of antiarrhythmic regimens. Circulation. 1978;58:986-97. CrossrefMedlineGoogle Scholar3. ENGELMEISTERLUCK TSJ. Modification of ventricular tachycardia by procainamide in patients with coronary artery disease. Am J Cardiol. 1980;46:1033-8. CrossrefMedlineGoogle Scholar4. HOROWITZHARKENJOSEPHSONKASTOR LAMJ. Surgical treatment of ventricular arrhythmias in coronary artery disease. Ann Intern Med. 1981. In press. LinkGoogle Scholar5. HARKENJOSEPHSONHOROWITZ AML. Surgical endocardial resection for the treatment of malignant ventricular tachycardia. Ann Surg. 1979;190:456-60. CrossrefMedlineGoogle Scholar6. JOSEPHSONHOROWITZFARSHIDISPEARKASTORMOORE MLAJJE. Recurrent sustained ventricular tachycardia: 2. Endocardial mapping. Circulation. 1978;57:440-7. CrossrefMedlineGoogle Scholar7. JOSEPHSONHOROWITZSPIELMANGREENSPANVANDEPOLHARKEN MLSACA. Comparison of endocardial catheter mapping with intra-operative mapping of ventricular tachycardia. Circulation. 1980;61:395-404. CrossrefMedlineGoogle Scholar8. JOSEPHSONHOROWITZHARKENKASTOR MLAJ. Hemodynamic and electrocardiographic changes produced by endocardial resection and aneurysmectomy for ventricular tachycardia. Circulation. 1980;62 (suppl III): III-320. Abstract. Google Scholar9. GUIRAUDONFONTAINEFRANKESCANDEETIEVENCABROL GGRGTC. Encircling endocardial ventriculotomy: a new surgical treatment for life-threatening ventricular tachycardias resistant to medical treatment following myocardial infarction. Ann Thorac Surg. 1978;26:438-44. CrossrefMedlineGoogle Scholar10. FONTAINEGUIRAUDONFRANKCABROLGROSGOGEAT GGRCY. The surgical management of ventricular tachycardia. Herz. 1979;4:276-84. MedlineGoogle Scholar11. GUIRAUDONFONTAINEFRANKGROSGOGEATCABROL GGRYC: Encircling endocardial ventriculotomy: late followup results. Circulation. 1980;62 (suppl III): III-320. Abstract. Google Scholar12. SWIRYNPAVELBYROM SDE. Radionuclide angiography during sustained ventricular tachycardia. Circulation. 1980;62 (suppl III):III-261. Abstract. Google Scholar13. PEDRIDZIELONKALOWN PBB. The use of radioventriculography for localizing the site of origin of ventricular tachycardia. Circulation. 1980;62 (suppl III):III-148. Abstract. Google Scholar14. UNGERLEIDERSTANLEYWILLIAMSLUFLANDCOX RTJGJ. Physiologic effects of the encircling endocardial ventriculotomy (EEV) for refractory ischemic ventricular tachycardia. Circulation. 1980;62 (suppl III):III-6. Abstract. Google Scholar15. ARCINIEGASKLEINKARP JHR. Surgical treatment of life-threatening ventricular tachyarrhythmias. Circulation. 1980;62 (suppl III):III-42. Abstract. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: TOBY R. ENGEL, M.D.Affiliations: Cardiovascular Division The Medical College of Pennsylvania Philadelphia, Pennsylvania PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPublication of Research: The Ethical DimensionEncircling endocardial ventriculotomy for malignant ventricular arrhythmias: Effect on Cardiac PerformanceSurgical management of post–myocardial infarction ventricular tachyarrhythmia by myocardial debulking, septal isolation, and myocardial revascularizationEncircling endocardial resection with complete removal of endocardial scar without intraoperative mapping for the ablation of drug-resistant ventricular tachycardiaStaphylococcal abscess complicating endocardial aneurysmectomyST segment elevation with ventricular aneurysm: Results of encircling endocardial ventriculotomySurgical therapy of arrhythmiasExtended Endocardial Resection for the Treatment of Ventricular Tachycardia and Ventricular Fibrillation 1 March 1981Volume 94, Issue 3Page: 402-404KeywordsAneurysmsAnginaCoronary arteriesDrugsResuscitationScarsSurgeryVentricular tachycardia ePublished: 1 December 2008 Issue Published: 1 March 1981 PDF downloadLoading ...