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Ann Thorac Surg 1990;50:476-478
© 1990 The Society of Thoracic Surgeons

Articles

Successful surgical treatment of incessant automatic atrial tachycardia with atrial aneurysm

Haruo Miyamura, MD*, Masaaki Nakagomi, MD, Shoji Eguchi, MD, Yoshifusa Aizawa, MD

Department of Thoracic and Cardiovascular Surgery and First Department of Internal Medicine, Niigata University School of Medicine, Niigata City, Japan

Accepted for publication March 29, 1990.

* Address reprint requests to Dr Miyamura, Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, 1-757 Asahi-machi, Niigata City, 951, Japan.

A 9-year-old boy with heart failure and long-term incessant atrial tachycardia mimicking dilated cardiomyopathy was treated surgically. Intraoperatively he was found to have atrial aneurysm, and the ectopic automatic focus was located at the base of it. Excision of the aneurysm including the focus without using cardiopulmonary bypass cured the tachycardia and heart failure.




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