{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,9]],"date-time":"2024-03-09T00:27:08Z","timestamp":1709944028613},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"S1","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Herzschr Elektrophys"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Geschichte der Behandlung ventrikul\u00e4rer Tachykardien durch chirurgische Verfahren ist kurz; sie dauerte nicht l\u00e4nger als 15\u00a0Jahre von etwa 1978 bis 1993. Grunds\u00e4tzlich sind zwei chirurgische Verfahren zu unterscheiden. Die <jats:italic>indirekten<\/jats:italic> Verfahren mit Resektion einer Infarktnarbe ohne elektrophysiologische Untersuchung und die <jats:italic>direkten<\/jats:italic> Verfahren mit gezielter Endokardinzision (\u201eencircling endocardial ventriculotomy\u201c). In Deutschland haben Ostermeyer, Breithardt und Seipel (D\u00fcsseldorf) 1979 erstmals \u00fcber intraoperatives, elektrophysiologisches Mapping bei ventrikul\u00e4ren Tachykardien (VT) berichtet; 1981 hat dann die Gruppe in Hannover (Frank, Klein) \u00fcber erste Ergebnisse bei der chirurgischen Therapie von Kammertachykardien berichtet. 1984 konnten Ostermeyer, Breithardt und Borggrefe zeigen, dass eine nur partielle Endokardinzision deutlich g\u00fcnstiger und weniger Ventrikel sch\u00e4digend (8\u202f% vs. 46\u202f%) ist als eine komplette zirkul\u00e4re Inzision. 1987 berichtete die D\u00fcsseldorfer Gruppe \u00fcber Behandlungsergebnisse von 93\u00a0Patienten. Nach 5\u00a0Jahren waren 77\u202f% der Patienten ohne VT-Rezidiv, die Gesamtmortalit\u00e4t nach einem Jahr war 11\u202f%, nach 5\u00a0Jahren 30\u202f%. Die Hannover Gruppe berichtete 1992 \u00fcber 147 Patienten, die mit endokardialem Resektionsverfahren behandelt wurden; die Gesamtmortalit\u00e4t nach 3\u00a0Jahren war 27\u202f%, VT-Rezidive traten bei 18\u202f% der \u00dcberlebenden auf.<\/jats:p><jats:p>Die Geschichte der chirurgischen Verfahren bei supraventrikul\u00e4ren Tachykardien (SVT), insbesondere dem Wolff-Parkinson-White(WPW)-Syndrom ist noch k\u00fcrzer als die der Chirurgie f\u00fcr VT. Bereits 1969 berichteten Sealy, Gallagher und Cox \u00fcber die ersten F\u00e4lle einer chirurgischen Intervention beim WPW-Syndrom \u00fcber einen endokardialen Zugang bei kardioplegischem Herzstillstand. 1984 berichteten Guiraudon und Klein \u00fcber ein neues Verfahren mit epikardialem Zugang zum akzessorischen B\u00fcndel ohne Kardioplegie bei lateral lokalisierten Leitungsbahnen. Auch in Deutschland f\u00fchrten seit 1980 die Gruppen in D\u00fcsseldorf (Ostermeyer, Seipel, Breithardt, Borggrefe) und seit 1981 die Hannover Gruppe (Frank, Klein und Kallfelz) operative Verfahren bei WPW-Syndrom durch. Borggrefe berichtete 1987 \u00fcber 18 operierte Patienten mit WPW-Syndrom und Vorhofflimmern. Nach 2\u00a0Jahren blieben 14 von 18 Patienten ohne Tachykardie Rezidive; 1989 berichteten Frank, Klein und Kallfelz (Hannover) \u00fcber 10 operierte Kinder (2\u221214 Jahre) unter Anwendung der Kryoablationstechnik. Zwischen 1984 und 1992 wurden in Hannover insgesamt 120 Patienten mit SVT, meist WPW-Syndrom, operiert; nach 42 Monaten hatten 12 Patienten ein SVT-Rezidiv. Bei der Reoperation verstarben 2\u00a0Patienten.<\/jats:p>","DOI":"10.1007\/s00399-024-01012-2","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T10:02:24Z","timestamp":1709114544000},"page":"88-97","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Geschichte der chirurgischen Behandlung von Herzrhythmusst\u00f6rungen in Deutschland","History of surgical treatment of cardiac arrhythmias in Germany"],"prefix":"10.1007","volume":"35","author":[{"given":"Helmut U.","family":"Klein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans-Joachim","family":"Trappe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcnter","family":"Frank","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"key":"1012_CR1","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1161\/01.CIR.20.2.251","volume":"20","author":"OA Couch","year":"1959","unstructured":"Couch\u00a0OA (1959) Cardiac aneurysm with ventricular tachycardia and subsequent excision of aneurysm. 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