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Ann Thorac Surg 1995;59:218-220
© 1995 The Society of Thoracic Surgeons

Articles

Kent bundle visualized in situ at operation after unsuccessful radiofrequency ablation

MD PhD Juan Martinez-Leon*, MD PhD Roberto Garcia-Civera, MD PhD Rafael Sanjuan, MD PhD Eduardo Otero-Coto

Services of Cardiovascular Surgery, Intensive Care and Cardiology, Hospital Clinico Universitario, Valencia, Spain

Accepted for publication April 27, 1994.

* Address reprint requests to Dr Martinez-Leon, Cirugia Cardiovascular, Hospital Clinico Universitario, 46010 Valencia, Spain.

Kent bundles are seldom visualized at operation, but, in the patient described, the pathway was subepicardial, running superficial to the right coronary artery. This was probably why radiofrequency ablation failed. When this unusual pathway course is encountered, the epicardial approach should be used at operation.






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