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Video-Assisted Modified Left Sympathectomy for Long-QT Syndrome

Department of Cardiovascular Surgery Fujian Research Institute for Cardiovascular Disease Fuzhou, Fujian, People's Republic of China

For reprint information contact: Weng Guo Xing, MD Tel: 86 591 755 7768 Ext. 5010 Fax: 86 591 753 2356 email: gxw001{at}hotmail.com Department of Cardiovascular Surgery, Fujian Research Institute for Cardiovascular Disease, 134 East Street, Fuzhou, Fujian Province 350001, People's Republic of China.

A 22-year-old female suffering from idiopathic long-QT syndrome complicated by frequent syncope, torsade-de-pointes-type ventricular tachycardia, and asthma, was successfully treated by video-assisted extensive left second and third thoracic sympathetic ganglionectomy, instead of left stellate and first thoracic ganglio-nectomy, to avoid postoperative Horner's syndrome. The QT interval was significantly shortened from 0.6 to 0.43 seconds four days after the surgery. It remained at 0.43 seconds during a 3-month follow-up with no recurrence of tachycardia or syncope.