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The Annals of Thoracic Surgery, Vol 49, 837-839, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Surgery for ventricular arrhythmia

JM Moran
Department of Surgery, University of Massachusetts, Worcester 01655.

Years of frustration of cardiac surgeons attempting to control intractable ventricular arrhythmia finally ended when the team of Harken, Josephson, and Horowitz performed electrophysiologically directed left ventricular endocardial resection and reported their early results 10 years ago. The scientific background for this breakthrough is reviewed and some subsequent modifications of their procedure are described. The current status of arrhythmia surgery since the advent of the automatic internal cardioverter-defibrillator is described: the two methodologies are complementary, not competitive.




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Copyright © 1990 by The Society of Thoracic Surgeons.