Case Report: The unrelenting journey—successful resolution of catecholaminergic polymorphic ventricular tachycardia (CPVT) through right cardiac sympathetic denervation in a teenager after left cardiac sympathetic denervation
2024

Successful Treatment of CPVT in a Teenager

Sample size: 1 publication Evidence: low

Author Information

Author(s): Leung Hei-To, Kwok Sit-Yee, Lau Ming, Lee Lucius Kwok-Fai, Tsao Sabrina

Primary Institution: Hong Kong Children's Hospital

Hypothesis

Can right cardiac sympathetic denervation (RCSD) effectively treat refractory catecholaminergic polymorphic ventricular tachycardia (CPVT) in a patient previously treated with left cardiac sympathetic denervation (LCSD)?

Conclusion

RCSD is a safe and effective alternative treatment for patients with refractory CPVT who have not responded to conventional therapies.

Supporting Evidence

  • The patient had multiple episodes of ventricular tachycardia despite various treatments.
  • After RCSD, the patient experienced complete elimination of ventricular tachycardia.
  • The follow-up treadmill test showed no recurrence of exercise-induced PVCs and VT.

Takeaway

A boy with a heart condition called CPVT had many problems even after treatment, but a new surgery helped him feel better and stop the heart issues.

Methodology

The patient underwent right cardiac sympathetic denervation after failing to respond to multiple medications and left cardiac sympathetic denervation.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

A 9-year-old Pakistani boy.

Digital Object Identifier (DOI)

10.3389/fcvm.2024.1477359

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