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

Détails

ID Serval
serval:BIB_AE731F6D0FE1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Maligne ventrikulare Arrhythmien bei kongenitalen Aneurysmen des linken Ventrikels im Erwachsenenalter. [Malignant ventricular arrhythmia in congenital aneurysms of the left ventricle in adulthood]
Périodique
Helvetica Chirurgica Acta
Auteur(s)
Meyer  B. J., Amann  F. W., Jenni  R., Bertel  O., von Segesser  L. K., Turina  M.
ISSN
0018-0181
Statut éditorial
Publié
Date de publication
01/1992
Volume
58
Numéro
4
Pages
479-83
Notes
English Abstract
Journal Article --- Old month value: Jan
Résumé
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.
Mots-clé
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
Création de la notice
14/02/2008 14:16
Dernière modification de la notice
20/08/2019 15:18
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