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Yves A.G. Louagie
Gerard M. Guiraudon
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Ann Thorac Surg 1991;51:616-619
© 1991 The Society of Thoracic Surgeons

Articles

Closed heart cryoablation of the his bundle using an anterior septal approach

Yves A.G. Louagie, MD, Gerard M. Guiraudon, MD*, George J. Klein, MD, Raymond Yee, MD

Departments of Surgery and Medicine, University of Western Ontario, University Hospital, London, Ontario, Canada

Accepted for publication December 21, 1990.

* Address reprint requests to Dr Guiraudon, University Hospital, 339 Winderere Rd, London, Ont, N6A 5A5 Canada.

His bundle cryosurgical ablation using a closed heart anterior septal approach was used in 6 patients. There were 3 men and 3 women, aged 24 to 73 years. Three patients had atrial fibrillation and 2 patients had atrial flutter (2 with combined episodes of atrial tachycardia). One patient had atrial tachycardia. Five patients had no structural heart disease and 1 patient had left ventricular dilatation (ejection fraction, 0.35). All patients undergoing His bundle cryosurgical ablation had permanent heart block without intraoperative complications (mean follow-up, 25 months). Closed heart anteroseptal cryoablation of the His bundle is effective and is an alternative to attempted catheter ablation.






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Copyright © 1991 by The Society of Thoracic Surgeons.