What is the role of surgery in the treatment of Lown-Ganong-Levine syndrome (LGL)?

Updated: Dec 09, 2020
  • Author: Daniel M Beyerbach, MD, PhD; Chief Editor: Jose M Dizon, MD  more...
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Answer

Rare patients for whom the criteria of Lown-Ganong-Levine (LGL) are met may have no inducibility of tachyarrhythmias by electrophysiologic (EP) study. Rarely, medical therapy fails in these patients, who continue to have recurrent, intolerable symptoms. In such extreme cases, pacemaker implantation, followed by radiofrequency (RF) ablation of the AV node or bundle of His may be considered.


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