Surgical treatment of supraventricular tachyarrhythmias.

Published

Journal Article

In this report, we have outlined our experiences with the direct surgical treatment of 16 patients with supraventricular tachyarrhythmias (SVTA). Re-entry supraventricular tachycardia (SVT) was demonstrated by the 4 patients who had retrograde-conducting Kent pathways. The SVT was corrected by the successful division of the Kent bundle in 3 and a partially successful His bundle division in one patient. The remaining 9 patients with re-entry, which included 6 with Kent pathways and WPW, all had His bundle section. The remaining 3 with His interruption had focal tachycardias associated with dysfunction of the atrioventricular (AV) node. Of the 13 His bundle interruptions, nine were successful, three resulted in questionable AV conduction, and one failed. Problems with suture ligation and cautery explained the failures. Cryothermia was the most successful procedure used. However, excision of that portion of the atrium containing the AV node shows promise of being satisfactory. The possibility is discussed of using measures much more precise and less destructive than His bundle interruption for SVTA.

Full Text

Duke Authors

Cited Authors

  • Sealy, WC; Anderson, RW; Gallagher, JJ

Published Date

  • April 1, 1977

Published In

Volume / Issue

  • 73 / 4

Start / End Page

  • 511 - 522

PubMed ID

  • 320400

Pubmed Central ID

  • 320400

International Standard Serial Number (ISSN)

  • 0022-5223

Language

  • eng

Conference Location

  • United States