Key result
Precordial knocks and aneurysm resection halt recurrent VT for 9 months in a single patient.
Population
1 62-year-old male with a large posterior left ventricular aneurysm diagnosed 6 months after a sustained…
Design
Case_report
Follow-up
9 months
Authors
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May enable preoperative VT stabilization without depressant drugs in select cases; leaves open generalizability beyond this single report.
Case Report (n=1)
This case report demonstrates the successful use of mechanical conversion via precordial knocks for ventricular tachycardia, allowing for surgical intervention without myocardial depressant drugs in a patient with a posterior left ventricular aneurysm.
Otterstad et al. (1982) conducted a case report in Posterior left ventricular aneurysm with recurrent ventricular tachycardia post-MI (n=1). Mechanical conversion via precordial knocks followed by surgical resection, endocardial ventriculotomy, and CABG was evaluated on Clinical status and need for antiarrhythmic drugs. Mechanical conversion via precordial knocks followed by aneurysm resection and bypass grafting successfully treated recurrent ventricular tachycardia in a 62-year-old male, with no recurrence at 9 months.
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