Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-24T07:45:16.499Z Has data issue: false hasContentIssue false
  • English
  • Français

Left thoracic sympathectomy in a premature infant with long QT syndrome and heart failure

Published online by Cambridge University Press:  20 June 2016

Sushitha Surendran ,
Thittamaranahalli K. S. Kumar  and
Christopher J. Knott-Craig
Sushitha Surendran*
Affiliation:
Division of Pediatric Cardiology, Le Bonheur Children’s Hospital, University of Tennessee Health Sciences Center, Memphis, Tennessee, United States of America
Thittamaranahalli K. S. Kumar
Affiliation:
Division of Pediatric Cardiothoracic Surgery, Le Bonheur Children’s Hospital, University of Tennessee Health Sciences Center, Memphis, Tennessee, United States of America
Christopher J. Knott-Craig
Affiliation:
Division of Pediatric Cardiothoracic Surgery, Le Bonheur Children’s Hospital, University of Tennessee Health Sciences Center, Memphis, Tennessee, United States of America
*
Correspondence to: S. Surendran, MD, PGY5, Division of Pediatric Cardiology, Le Bonheur Children’s Hospital, University of Tennessee, 50 N Dunlap St, Memphis, TN 38103, United States of America. Tel: 646 912 2679; Fax: 901 287 5970; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Left thoracic sympathectomy has been shown to be an effective treatment for adults with long QT syndrome who are refractory to medical therapy. We report the successful use of left thoracic sympathectomy for the management of a 10-week-old premature baby with long QT syndrome and heart failure from a large ventricular septal defect and patent ductus arteriosus.

Keywords

Long QT syndromesympathectomyheart failure
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 1 , January 2017 , pp. 178 - 180
Check for updates
Copyright
© Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Schwartz, PJ, Crotti, L, Insolia, R. Long-QT syndrome: from genetics to management. Circ Arrhythm Electrophysiol 2012; 5: 868–877.Google Scholar
2. Steven, WH, Jonathan, GT, William, EW, et al. Left thorascopic sympathectomy for refractory long QT syndrome in children. J Neurosurg Pediatr 2011; 8: 455–459.Google Scholar
3. Chang, J, Hsu, C, Hwang, B, et al. Refractory ventricular tachycardia in a long QT syndrome child successfully controlled by left cardiac sympathetic denervation. Pediatr Neonatol 2012; 53: 378–383.Google Scholar
4. Schwartz, PJ, Priori, SG, Cerrone, M, et al. Left cardiac sympathetic denervation in the management of high-risk patients affected by the long-QT syndrome. Circulation 2004; 109: 1826–1833.Google Scholar
5. Kenyon, CA, Flick, R, Moir, C, Ackerman, MJ, Pabelick, CM. Anesthesia for videoscopic left cardiac sympathetic denervation in children with congenital long QT syndrome and catecholaminergic polymorphic ventricular tachycardia – a case series. Paediatr Anaesth 2010; 20 (5): 465–470.Google Scholar
6. Silver, ES, Liberman, L, Chung, WK, et al. Long QT syndrome due to a novel mutation in SCN5A: treatment with ICD placement at 1 month and left cardiac sympathetic denervation at 3 months of age. J Interv Card Electrophysiol 2009; 26: 41–45.CrossRefGoogle ScholarPubMed
7. Costello, JP, Wilson, JK, Louis, C, et al. Surgical cardiac denervation therapy for treatment of congenital ion channelopathies in pediatric patients: a contemporary, single institutional experience. World J Pediatr Congenit Heart Surg 2015; 6: 33–38.Google Scholar
8. Ouriel, K, Moss, AJ. Long QT syndrome: an indication for cervicothoracic sympathectomy. Cardiovasc Surg 1995; 3: 475–478.Google Scholar
9. De Ferrari, GM, Schwartz, PJ. Left cardiac sympathetic denervation in patients with heart failure: a new indication for an old intervention? J Cardiovasc Transl Res 2014; 7: 338–346.Google Scholar