Key result
Emergency surgical ventricular reconstruction and subendocardial resection was performed as a treatment for medically intractable ventricular tachycardia and acute heart failure.
Surgical ventricular reconstruction and subendocardial resection may be considered as an option for refractory ventricular tachycardia and acute heart failure post-myocardial infarction.
Should not yet change practice for refractory post-MI VT with acute HF; leaves open the role of surgical reconstruction pending controlled data.
We describe a case of 64-year-old female patient with ventricular tachycardia intractable to medical treatment and acute heart failure following myocardial infarction. Emergency surgical ventricular reconstruction and subendocardial resection was undertaken. We discuss the option of surgical intervention in this difficult and unusual clinical scenario.
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Ismail et al. (2014) studied this question. Emergency surgical ventricular reconstruction and subendocardial resection was performed as a treatment for medically intractable ventricular tachycardia and acute heart failure.
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