Volume 6, Issue 6, Pages (June 2009)

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Volume 6, Issue 6, Pages 752-759 (June 2009) Left cardiac sympathetic denervation for the treatment of long QT syndrome and catecholaminergic polymorphic ventricular tachycardia using video-assisted thoracic surgery Christopher A. Collura, MD, Jonathan N. Johnson, MD, Christopher Moir, MD, Michael J. Ackerman, MD, PhD Heart Rhythm Volume 6, Issue 6, Pages 752-759 (June 2009) DOI: 10.1016/j.hrthm.2009.03.024 Copyright © 2009 Terms and Conditions

Figure 1 Anatomy of left cardiac sympathetic denervation (LCSD). A: An anatomical drawing of the left cardiac sympathetic chain after exposure through the pleura that is resected during VATS-LCSD. The stellate ganglion is located under the superior edge of the incision. The dashed line indicates the resection of the lower half of the left stellate ganglion occurring just above the major lower branches. B and C: Videoscopic still frames of VATS-LCSD before (B) and after (C) dissection of the pleura. VATS = video-assisted thoracic surgery. Heart Rhythm 2009 6, 752-759DOI: (10.1016/j.hrthm.2009.03.024) Copyright © 2009 Terms and Conditions

Figure 2 Electrocardiogram of patient 8 before (A) and 6 months after (B) VATS-LCSD, showing a decrease in the QTc from 529 ms to 423 ms. VATS-LCSD = video-assisted thoracic surgery–left cardiac sympathetic denervation. Heart Rhythm 2009 6, 752-759DOI: (10.1016/j.hrthm.2009.03.024) Copyright © 2009 Terms and Conditions