Surgical treatment of cardiac arrhythmia

The data available in the literature show that application of indirect tools (sympathectomy, aortocoronary bypass, aneurysmectomy) provide good results in abolishing ventricular tachycardias approximately in 57% of cases. In this connection, quite a number of new so-called direct operations on arrhythmia substrates have been developed. These include circular endocardial ventricular resection, extensive fibrous endocardial resection, fibrous endocardial resection under the monitoring of beating heart mapping, cryo-, and laser exposures. The author has his own good results: the operative mortality is 12% in patients with coronary heart disease and ventricular tachycardias. Thus, the author's findings indicate that 5 years later 75% of the patients who had undergone a direct operation for ventricular tachycardia were alive.