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Intraoperative Localization and Division of Accessory Pathways Associated with the Wolff-Parkinson-White Syndrome

  • J. J. Gallagher
  • W. C. Sealy
  • J. H. Kasell

Abstract

In 1930, Wolff et al. (1) described a clinical syndrome consisting of a short P-R interval and an electrocardiographic pattern of bundle branch block in healthy young people prone to paroxysmal tachycardia. Although this paper still represents the most popularly cited description and provides the eponym of this preexcitation syndrome, single case reports had appeared as early as 1915 (2–5). In fact, circus movement with involvement of an accessory atrioventricular (A-V) pathway was predicted in 1913 by Mines (6,)). In the light of Stanley Kent’s reports (9,10) of finding anomalous connections between the atrium and ventricle, Mines (8) again urged in 1914 that some paroxysmal tachycardias in man might result from reentry utilizing an accessory A-V pathway. In his paper of 1914, Mines (8) almost prophetically anticipated the role of surgical treatment of this disorder when he stated that “…in a favourable experiment the circulating wave and its instantaneous arrest by section of the ring is a sight not easily forgotten.” (8)

Keywords

Accessory Pathway Tricuspid Annulus Atrioventricular Groove Membranous Septum Paroxysmal Tachycardia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1980

Authors and Affiliations

  • J. J. Gallagher
  • W. C. Sealy
  • J. H. Kasell

There are no affiliations available

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