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Cited by 482

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Endocardial excision: a new surgical technique for the treatment of recurrent ventricular tachycardia.

Open access
Josephson, M E, Harken, A H, Horowitz, L N·1979·Circulation

Abstract

Twelve patients with medically refractory ventricular tachycardia secondary to ischemic heart disease underwent surgery for cure of their arrhythmia. Preoperatively, the tachycardia could be reproducibly initiated and terminated in each patient by programmed stimulation. In all instances, intraoperative mapping localized the tachycardia to the border of the aneurysm, a site not routinely resected during aneurysmectomy. In nine instances, the area of origin involved the septum. During bypass the tachycardia could still be induced after standard aneurysmectomy or ventriculotomy in 11 of 12 patients. On the basis of intraoperative mapping, resection of endocardium in the area of origin (25--40% the circumference of the aneurysmectomy) up to normal muscle was performed. In one patient without a discrete aneurysm, endocardial excision alone through a ventriculotomy was performed. There was one operative death due to cardiogenic shock (preoperative ejection fraction 5%) and one late death due to rupture of a mycotic aneurysm in the pulmonary artery. Before discharge, all patients underwent a repeat relectrophysiologic study off antiarrhythmic agents and in none could ventricular tachycardia be initiated. Hemodynamic and angiographic catheterization showed improved hemodynamics and ejection fractions in all. The 10 survivors remained free of sustained ventricular tachycardia for 9--20 months, with one late nonarrhythmic death.

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Crossref · 10.1161/01.cir.60.7.1430

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Metadata

Authors
Josephson, M. E., Harken, A. H., & Horowitz, L. N.
Venue
Circulation
Published
1979-12
Volume
60
Issue
7
Pages
1430-1439
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2148844133
Cited by
482
References
9
FWCI
19.83
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Endocardial excision: a new surgical technique for the treatment of recurrent ventricular tachycardia. https://app.cochat.ai/papers/10.1161/01.cir.60.7.1430
The paper
Josephson, M. E., Harken, A. H., & Horowitz, L. N. (1979). Endocardial excision: a new surgical technique for the treatment of recurrent ventricular tachycardia. Circulation. https://doi.org/10.1161/01.cir.60.7.1430

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.