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The Annals of Thoracic Surgery, Vol 30, 313-325, Copyright © 1980 by The Society of Thoracic Surgeons
T Iwa, T Magara, Y Watanabe, M Kawasuji and T Misaki
Of 35 patients with Wolff-Parkinson-White syndrome operated on, 5 were seen
with two accesory conduction pathways each; all of these were successfully
interrupted. In one patient, one accessory conduction pathway each was
located in the right and left side of the heart; in the other 4, both
pathways were confined to the right side. In 2 patients with unilateral
(right side) multiple accessory conduction pathways, Ebstein's anomaly was
also present. In 1 patient with Ebstein's anomaly, the second unilateral
accessory conduction pathway was discovered intraoperatively and was
successfully interrupted. The remaining 4 patients required a second
operation to interrupt the other pathway. A delta wave completely different
from the preoperative one appeared 4 to 10 days after interruption of the
first major pathway, and the second operation was performed 14 days, 42
days, four months, or five years after the first operation. All 5 patients
survived, and long-term follow-up revealed no signs of morbidity.
ARTICLES
Interruption of multiple accessory conduction pathways in the Wolff- Parkinson-White syndrome
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P. Iturralde, M. Guevara-Valdivia, L. Rodriguez-Chavez, A. Medeiros, and L. Colin Radiofrequency ablation of multiple accessory pathways Europace, January 1, 2002; 4(3): 273 - 280. [Abstract] [PDF] |
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