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Ann Thorac Surg 1990;49:837-839
© 1990 The Society of Thoracic Surgeons

Articles

Surgery for ventricular arrhythmia

John M. Moran, MD*

Department of Surgery, University of Massachusetts, Worcester, Massachusetts, USA

* Address reprint requests to Dr Moran, Department of Surgery, University of Massachusetts, 55 Lake Ave North, Worcester, MA 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 break-through is reviewed and some subsequent modulations 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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