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Sympathectomy in refractory ventricular arrhythmias in patients with left ventricular assist device: a grand round case report

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Case report shows effective sympathectomy controlling arrhythmias in a patient with LVAD, highlighting the need for multidisciplinary approaches.

Left surgical sympathectomy effectively controlled persistent ventricular tachycardia in the patient.
Patient remained free of arrhythmic events for one year after undergoing sympathectomy.
Multimodal approaches are essential for managing ventricular tachycardia in patients with left ventricular assist devices.
Conventional therapies may be insufficient, necessitating escalation to advanced interventions like sympathectomy.

Fernández-Caso et al. (2025) studied this question.

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Case report shows effective sympathectomy controlling arrhythmias in a patient with LVAD, highlighting the need for multidisciplinary approaches.