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The Annals of Thoracic Surgery, Vol 23, 39-44, Copyright © 1977 by The Society of Thoracic Surgeons

ARTICLES

Intraoperative identification of the conduction system in repair of endocardial cushion defect

GS Wolff and RD Alley

Electrophysiological identification intraoperatively 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 acconpaniment to the operative repair of ECD.




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Copyright © 1977 by The Society of Thoracic Surgeons.