Surgical treatment of ventricular tachycardia after total correction of tetralogy of Fallot
Akimoto, T.; Yagi, Y.; Shikawa, A.; Yamazaki, K.; Endo, M.; Koyanagi, H.
Nihon Kyobu Geka Gakkai 40(12): 2241-2246
1992
ISSN/ISBN: 0369-4739 PMID: 1491207 Document Number: 396638
A 38-year-old man with total repair of tetralogy of Fallot at the age of 16 suffered from paroxysmal ventricular tachycardia. His first attack of sustained ventricular tachycardia was recognized at the age of 37 and it was refractory for medical therapy. Electrophysiologic study demonstrated two morphological types of clinical ventricular tachycardias, one originated from the outflow tract of the right ventricle and the other from the area around the patch for closure of ventricular septal defect. He underwent cryosurgical ablation for ventricular tachycardia and patch-closure for residual shunt of ventricular septal defect following the failure of electrical ablation. All of clinical ventricular tachycardias disappeared postoperatively without antiarrhythmic drugs.