Control of Recurrent Tachycardia of Wolff-Parkinson-White Syndrome by Surgical Ligature of the A-V Bundle-Reference-Cited by-同舟云学术

Control of Recurrent Tachycardia of Wolff-Parkinson-White Syndrome by Surgical Ligature of the A-V Bundle

Published:1968-12 Issue:6 Volume:38 Page:1030-1036
ISSN:0009-7322
Container-title:Circulation
language:en
Short-container-title:Circulation

Author:

DREIFUS LEONARD S.¹,NICHOLS HENRY¹,MORSE DRYDEN¹,WATANABE YOSHIO¹,TRUEX RAYMOND¹

Affiliation:

1. From the Departments of Medicine and Thoracic Surgery, Hahnemann Medical College, Philadelphia, Pennsylvania, and the Department of Anatomy, Temple University Medical Center, Philadelphia, Pennsylvania.

Abstract

In a patient with WPW, type A, pharmacological therapy and radioactive iodine failed to control the disabling, life-threatening arrhythmia. Surgical ligation of the A-V bundle was undertaken in view of the rapidly deteriorating clinical course. Failure to identify A-V block after several sutures were placed in the A-V junction and subsequent activation of the ventricles in a heart with known A-V block demonstrates that the accessory A-V bundles may completely activate the ventricles. Complete elimination of the recurrent tachycardias after A-V ligation suggests that the normal A-V transmission system may be a crucial link in the circus pathway of WPW tachycardia.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Link

https://www.ahajournals.org/doi/pdf/10.1161/01.CIR.38.6.1030

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