Maligne ventrikulare Arrhythmien bei kongenitalen Aneurysmen des linken Ventrikels im Erwachsenenalter. [Malignant ventricular arrhythmia in congenital aneurysms of the left ventricle in adulthood]

Details

Serval ID
serval:BIB_AE731F6D0FE1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Maligne ventrikulare Arrhythmien bei kongenitalen Aneurysmen des linken Ventrikels im Erwachsenenalter. [Malignant ventricular arrhythmia in congenital aneurysms of the left ventricle in adulthood]
Journal
Helvetica Chirurgica Acta
Author(s)
Meyer  B. J., Amann  F. W., Jenni  R., Bertel  O., von Segesser  L. K., Turina  M.
ISSN
0018-0181
Publication state
Published
Issued date
01/1992
Volume
58
Number
4
Pages
479-83
Notes
English Abstract
Journal Article --- Old month value: Jan
Abstract
Congenital aneurysms of the left ventricle (ALV) are rare cardiac lesions. Beyond that an association with malignant ventricular arrhythmias (MVA, symptomatic ventricular tachycardia--VT or ventricular fibrillation--VF) is reported only in sporadic cases. Since 1988 we had the opportunity to study 5 patients (pts) with MVA (4 sustained VT, 1 VF; 1 female, 4 males; mean age 38 years) without cardiovascular risk factors, history of myocardial infarction, trauma or inflammatory disease. Left ventricular contrast angiography and echocardiography disclosed ALV's. At programmed electrical stimulation clinically documented MVA (4 VT, 1 resuscitated VF) were reproducible in all 5 cases, the respective VT was located in the area of the ALV in 4 cases. In 2 pts aneurysmectomy combined with subendocardial resection and cryotherapy (1 apical, 1 posterobasal ALV) was performed. In both pts histopathology confirmed a congenital disorder, without evidence of inflammatory lesions. In 2 pts MVA was controlled with antiarrhythmic therapy. The pt with VF and an ALV adjacent to the anulus of the aortic valve received an implantable cardioverter defibrillator. In congenital aneurysms of the left ventricle complicated by malignant ventricular arrhythmias surgical intervention offers a potential cure in selected cases.
Keywords
Adolescent Adult Bundle-Branch Block/congenital/physiopathology/surgery Electrocardiography Female Heart Aneurysm/*congenital/physiopathology/surgery Heart Ventricles/*abnormalities/physiopathology Hemodynamics/physiology Humans Male Middle Aged Tachycardia/*congenital/physiopathology/surgery
Pubmed
Web of science
Create date
14/02/2008 14:16
Last modification date
20/08/2019 15:18
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