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She underwent two left stellate ganglion blocks, which provided temporary VT suppression. She was found to have significant cardiomegaly and a large chronic descending aortic dissection on pre-operative workup, which did not require acute intervention. Given her persistent symptoms, she underwent bilateral robotic sympathectomy. She tolerated the procedure without complication and remained without ICD shocks at her 6-month clinic visit.<\/jats:p>","DOI":"10.1093\/jscr\/rjag788","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T11:40:50Z","timestamp":1787658050000},"source":"Crossref","is-referenced-by-count":0,"title":["Bilateral robotic sympathectomy for recurrent ventricular tachycardia in a patient with complex cardiovascular history"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1674-070X","authenticated-orcid":false,"given":"John J","family":"Tumminello","sequence":"first","affiliation":[{"name":"Stritch School of Medicine, Loyola University Chicago , 2160 S 1st Ave, Maywood, IL 60153 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Pohlman","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, Loyola University Medical Center , 2160 S 1st Ave, Maywood, IL 60153 ,","place":["United States"]},{"name":"Department of Surgery, University of Illinois Chicago , 840 S. Wood St Chicago, IL 60612 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaid M","family":"Abdelsattar","sequence":"additional","affiliation":[{"name":"Stritch School of Medicine, Loyola University Chicago , 2160 S 1st Ave, Maywood, IL 60153 ,","place":["United States"]},{"name":"Department of Cardiovascular and Thoracic Surgery, Loyola University Medical Center , 2160 S 1st Ave, Maywood, IL 60153 ,","place":["United States"]},{"name":"Department of Surgery, Edward Hines Jr. Veterans Affairs Hospital , 5000 5th Ave, Hines, IL 60141 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia M","family":"Coughlin","sequence":"additional","affiliation":[{"name":"Stritch School of Medicine, Loyola University Chicago , 2160 S 1st Ave, Maywood, IL 60153 ,","place":["United States"]},{"name":"Department of Cardiovascular and Thoracic Surgery, Loyola University Medical Center , 2160 S 1st Ave, Maywood, IL 60153 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"2026090214054527600_ref1","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1016\/j.pcad.2008.01.003","article-title":"The role of the autonomic nervous system in sudden cardiac death","volume":"50","author":"Vaseghi","year":"2008","journal-title":"Prog Cardiovasc Dis"},{"key":"2026090214054527600_ref2","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1023\/A:1024765500179","article-title":"Sympathetic-parasympathetic interaction in health and disease: abnormalities and relevance in heart failure","volume":"8","author":"Schwartz","journal-title":"Heart Fail Rev"},{"key":"2026090214054527600_ref3","doi-asserted-by":"publisher","first-page":"24","DOI":"10.14797\/QIQG9041","article-title":"Surgical cardiac sympathetic denervation for ventricular arrhythmias: a systematic review","volume":"17","author":"Chihara","year":"2021","journal-title":"Methodist Debakey Cardiovasc J"},{"key":"2026090214054527600_ref4","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1016\/j.jacc.2010.03.062","article-title":"Neuraxial modulation for refractory ventricular arrhythmias: outcomes of bilateral cardiac sympathetic denervation in advanced heart failure","volume":"56","author":"Bourke","year":"2010","journal-title":"J Am Coll Cardiol"},{"key":"2026090214054527600_ref5","doi-asserted-by":"publisher","first-page":"3070","DOI":"10.1016\/j.jacc.2017.04.035","article-title":"Cardiac sympathetic denervation for refractory ventricular arrhythmias","volume":"69","author":"Vaseghi","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"2026090214054527600_ref6","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1177\/1556984520979274","article-title":"Robotic-assisted thoracoscopic cardiac sympathetic denervation: technique and outcomes","volume":"16","author":"Bourdakos","year":"2021","journal-title":"Innovations (Phila)"},{"key":"2026090214054527600_ref7","doi-asserted-by":"publisher","first-page":"3065","DOI":"10.21037\/jtd-20-286","article-title":"Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors","volume":"12","author":"Li","year":"2020","journal-title":"J Thorac Dis"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag788\/70924767\/rjag788.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag788\/70924767\/rjag788.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T18:05:52Z","timestamp":1788372352000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag788\/8780253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":7,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag788","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag788"}}