Bilateral robotic sympathectomy for recurrent ventricular tachycardia in a patient with complex cardiovascular history

John J Tumminello, Alexander Pohlman, Zaid M Abdelsattar, Julia M Coughlin · 2026

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Description

John Tumminello and three co-authors present a 2026 case report on robotic nerve surgery for a runaway heart rhythm. Their patient, a seventy-six-year-old woman, had a long, complex heart history with many past procedures. Dangerous ventricular tachycardia kept triggering shocks from her implanted defibrillator despite maximal drug therapy. Temporary nerve blocks on the left side of her neck quieted the rhythm for a while, pointing to the sympathetic nerves as a driver.

Scans also showed an enlarged heart and an old tear in her aorta's wall that needed no urgent action. Surgeons used a robot to cut the sympathetic nerve chains on both sides of her chest. She came through without complications. Six months later she had received no further defibrillator shocks. The case adds one data point for surgical rhythm control when drugs fail.

Catalog record

CREATORJohn J Tumminello, Alexander Pohlman, Zaid M Abdelsattar, Julia M Coughlin
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE10 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13537453

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