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Ann Thorac Surg 1977;23:39-44
© 1977 The Society of Thoracic Surgeons

Articles

Intraoperative Identification of the Conduction System in Repair of Endocardial Cushion Defect

Grace S. Wolff, M.D.*, Ralph D. Alley, M.D.

Departments of Pediatrics and Surgery, Albany Medical College and Albany Medical Center Hospital, Albany, NY.
We thank Andrea Schneider and Laurie Roos for their secretarial assistance and Anne Marie Vancura for her assistance with the illustrations

Accepted for publication May 24, 1976.

* Address reprint requests to Dr. Wolff, Division of Pediatric Cardiology, Albany Medical Center Hospital, Albany, NY 12208.

Electrophysiological identification in-traoperatively of the His-Purkinje system eliminates the complication of complete heart block consequent upon repair of endocardial cushion defect (ECD). Ten patients, 6 with complete ECD and 4 with incomplete ECD, underwent repair of the defect. None of the patients developed heart block. Slight variations were noted in the location of the His bundle in 9 patients, and a major deviation was found in 1 patient with incomplete ECD. The data support the use of intraoperative recordings as a necessary accompaniment to the operative repair of ECD.






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Copyright © 1977 by The Society of Thoracic Surgeons.