Surgery for Preexcitation Syndromes
The majority of patients who experience cardiac arrhythmias associated with preexcitation syndromes can be treated satisfactorily by nonsurgical methods. When these arrhythmias cannot be controlled medically or when they are potentially lethal, surgical intervention may be required. By far, the most common of the preexcitation syndromes requiring surgery is Wolff-Parkinson-White(WPW) syndrome in which the ventricles are preexcited because of accessory atrioventricular (AV) connections . Recently, surgical procedures have also been applied clinically to control life-threatening arrhythmias associated with presumed accessory atriofascicular [atrio-Hisian] bypass tracts  and accessory nodoventricular connections.
KeywordsCoronary Sinus Versus Node Versus Connection Anulus Fibrosis Bipolar Electrogram
Unable to display preview. Download preview PDF.
- 1.Gallagher JJ, Sealy WC, Cox JL, German LD, Kasell JH, Bardy GH, Packer DL: Results of surgery for pre-excitation caused by accessory atrioventricular pathways in 267 consecutive cases. In Tachycardias: Mechanisms, Diagnosis, and Treatment Josephson ME, Wellens HJJ (eds.). Lea & Febiger, Philadelphia, 1984, pp. 259–269.Google Scholar
- 2.Cox JL: Surgery for cardiac arrhythmias. Current Problems in Cardiology. Yearbook Medical Publishers, Chicago, VIII, No. 4, July 1983.Google Scholar
- 4.Sealy WC: The surgical treatment of arrhythmias caused by accessory pathways of atrioventricular conduction. In Cardiac Arhhythmias, a Decade of Progress Harrison DC (ed.). GK Hall Medical Publishers, Boston, 1981, pp. 431–445.Google Scholar
- 5.Cox JL: Surgical management of cardiac arrhythmias. In Gibbon’s Surgery of the Chest (4th Ed.), Sabiston DC, Jr, Spencer FC (eds.). WB Saunders Company, Philadelphia, pp. 1552–1584, 1983.Google Scholar
- 13.Scheinman M, Morady F, Hess DS, Gonzalez R: Catheter-induced ablation of the atrioventricular junction to control refractory supraventricular arrhythmias JAMA 7: 851, 1982.Google Scholar
- 14.Gallagher JJ, Svenson RH, and Kasell JH, German LD, Bardy GH, Broughton A, Critelli G: Catheter technique for closed chest ablation of the atrioventricular conduction system. A therapeutic alternative for the treatment of refractory supraventricular tachycardia. N. Engl. J. Med. 306: 194, 1982.PubMedCrossRefGoogle Scholar
- 16.Anderson RH, Becker AE: Cardiac anatomy for the surgeon. In Sabiston DC, Jr (ed.). Lewis Practice of Surgery, Cardiovascular Surgery Volume, Harper & Row, Maryland, 1979, p. 29.Google Scholar