[Recurrent post- XXXX ventricular tachycardias. Treatment combining circular ventriculotomy, myocardial revascularization and aneurysmal plication].

@entity1 @entity712 @entity583 @entity998 @entity1188 @entity439 @entity5707 @entity453 @entity943
The efficacy of encircling endocardial ventriculotomy (EEV) with treatment of recurrent persistent post- @entity1188 VT has been established. The relative simplicity of the operation has enables it to be easily integrated into the surgical therapeutic arsenal for the treatment of @entity453 and its complications. Several electrophysiological studies have clearly demonstrated the origin of reentry pathways in the border zone of the @entity439 so that peroperative mapping can be dispensed with except in special cases. Sixteen @entity1 with post- @entity1188 @entity439 causing recurrent VT resistant to antiarrhythmic therapy for over 3 months were operated between January 1979 and June 1983. The average age was 51 years, range 36 to 70 years. The causal @entity583 dated from 3 months to 22 years; the site of @entity1188 was anterior in 12 cases (anteroseptal 5 cases), posterior in 3 cases and circumferential in 1 case. Surgery was performed under cardiopulmonary bypass and comprised EEV in the border zone of the @entity439 without prior mapping studies. A myocardial revascularisation procedure was associated in 10 cases (aortocoronary saphenous vein bypass) with single grafts in 4 @entity1 . Thirteen @entity1 also underwent plicature of the @entity5707 . There was one death in the immediate postoperative period due to a @entity998 (6.25%). The 15 survivors have been followed up for 1 to 45 months during which period 3 deaths occurred, on at the 2nd month due to @entity712 and 2 sudden deaths at the 5th and 22nd months. These 2 @entity1 had not had recurrences of their @entity943 .(ABSTRACT TRUNCATED AT 250 WORDS)
