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Ann Thorac Surg 1992;54:1203-1205
© 1992 The Society of Thoracic Surgeons


Articles

Complete cure after a seemingly unsuccessful operation for Wolff-Parkinson-White syndrome

Peter Rakovec, MD, DSc*, Ales Brecelj, MD, Igor Zupan, MD

University Medical Center, Ljubljana, Slovenia

Accepted for publication February 28, 1992.

* Address reprint requests to Dr Rakovec, Clinic of Cardiology, Zaloska 7, 61105 Ljubljana, Slovenia.

A 48-year-old man with Wolff-Parkinson-White syndrome and poorly tolerated atrial fibrillation underwent surgical dissection of an accessory pathway. After operation electrocardiogram revealed a very unfavorable outcome: sinus rhythm with persistence of delta waves alternated with sequences of complete atrioventricular block. Therefore, an early reoperation was planned. Fortunately, in the next days conduction through the accessory pathway and signs of atrioventricular block disappeared. Complete cure was observed during longterm follow-up.







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