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Ann Thorac Surg 1986;41:572-578
© 1986 The Society of Thoracic Surgeons

Articles

Sympathectomy in the Treatment of Angina and Arrhythmias

Mark H. Kadowaki, B.S., James M. Levett, M.D.*

Department of Surgery, Section of Cardiac Surgery, the University of Chicago Hospitals and the Pritzker School of Medicine, Chicago, IL

* Address reprint requests to Dr. Levett, Deborah Heart and Lung Center, 1 Trenton Rd, Browns Mills, NJ 08015

Sympathectomy has been used as treatment for several different cardiac conditions. These include classic angina pectoris, Prinzmetal's angina, paroxysmal atrial tachycardia, ventricular tachycardia, and long QT syndrome. To understand the rationale of such treatment, the innervation of the human heart is reviewed with discussion of the cardiac plexus and coronary innervation. Results in published studies are summarized and discussed.




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