Case Reports Journal Article Epublish
PubMed: 42719632 DOI: 10.1016/j.atssr.2026.02.005
Application of Bilateral Sympathetic Nerve Cryoablation as a Bridge to Transplant for Refractory Ventricular Tachycardia.
Ann Thorac Surg Short Rep 4(3):989-992
Authors: Marilina La Porta, Mathieu Echivard, Stéphane Renaud, Joseph Seitlinger
Affiliations
- Division of Thoracic Surgery, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Azienda Ospedaliero Universitaria Di Bologna, Bologna, Alma Mater Studiorum, University of Bologna, Bologna, Italy. Division of Thoracic Surgery, University Hospital of Nancy, Nancy, France.
- Division of Cardiology, University Hospital of Nancy, Nancy, France.
- Division of Thoracic Surgery, University Hospital of Nancy, Nancy, France.
Abstract
This case report describes a medically fragile patient with sustained ventricular arrhythmia who was anticoagulated and thus underwent bilateral video-assisted thoracoscopic sympathetic cryoablation as the least-invasive option. This technique provides a temporary, reversible sympathetic block, reducing procedural risks compared with conventional denervation. The gradual inverse nerve remodeling after cryoablation may account for early arrhythmic recurrences. Overall, this approach shows promise for rhythm control and safety in high-risk patients, but further evaluation is required.
MeSH
Tachycardia, Ventricular, Cryosurgery, Tachycardia, Transplants