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Ann Thorac Surg 1992;54:974-977
© 1992 The Society of Thoracic Surgeons

Articles

Surgically created Wolff-Parkinson-White syndrome after fontan operation

Anees J. Razzouk, MDa,b, Robert Gow, MB, BSa,b, John Finley, MDa,b, David Murphy, MDa,b, William G. Williams, MD*,a,b

a Divisions of Cardiology and Cardiovascular Surgery, Hospital for Sick Children, Toronto, Canada
b Izaak Walton Killam Children's Hospital, Halifax, Canada

Accepted for publication February 10, 1992.

* Address reprint requests to Dr Williams, No. 1525, 555 University Ave, Toronto, Ont, M5G 1X8, Canada.

The Wolff-Parkinson-White syndrome is caused by a congenital accessory connection between the atrium and ventricle. We describe a case of symptomatic Wolff-Parkinson-White syndrome that arose after a Björk modification of the Fontan operation. Invasive electrophysiologic and intraoperative mapping indicated that the surgically created atrioventricular connection was functioning as an accessory pathway. Surgical dissection and cryoablation abolished the symptoms and the preexcitation.




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