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The Journal of Thoracic and Cardiovascular Surgery, Vol 91, 419-427, Copyright © 1986 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association


ARTICLES

Cryoablation of arrhythmias from the interventricular septum: initial experience with a new biventricular approach

J Krafchek, GM Lawrie and CR Wyndham

The use of cryothermy in addition to other newer surgical techniques has improved the outcome for patients undergoing operation for ventricular tachycardia. However, the depth to which the cryothermic lesions penetrate the myocardium may be a limiting factor in some situations. In an attempt to overcome this problem, we applied cryothermia from both sides using a new biventricular approach in five patients with documented interventricular septal foci. The advantages, disadvantages, and possible indications for the use of this approach are discussed, as are methods for avoiding potential complications.





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Copyright © 1986 by The American Association for Thoracic Surgery.