Abstract
Twenty-seven patients aged 21 years or younger (mean 15) with symptomatic tachycardia underwent operation for ablation of an accessory atrioventricular pathway. Six patients had associated Ebstein's malformation of the tricuspid valve. Supraventricular tachycardia had been present for a mean of 5 years. At electrophysiologic study, 4 patients were found to have 2 accessory pathways. Left ventricular free wall pathways were found In 14 patients, right ventricular free wall pathways in 10 and septal pathways in 6. Successful initial ablation of all the pathways was achieved in 26 of the 27 patients. No patient died perioperatively and none had persistent complete heart block. During a mean follow-up of 11 months, no patient had recurrence of an arrhythmia related to the accessory pathway. Thus, the surgical treatment of children and young adults with accessory atrioventricular pathways and symptomatic supraventricular tachycardia is safe and effective. For these patients, unless the tachycardia can be easily controlled with a minimal number of drugs and adverse effects, surgical ablation should be considered early in the clinical course.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1509-1512 |
| Number of pages | 4 |
| Journal | The American Journal of Cardiology |
| Volume | 55 |
| Issue number | 13 |
| DOIs | |
| State | Published - Jun 1 1985 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
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Surgical treatment of accessory atrioventricular pathways and symptomatic tachycardia in children and young adults. / Holmes, David; Danielson, Gordon K.; Gersh, Bernard J.; Osborn, Michael J.; Wood, Douglas L.; Mclaran, Christopher; Sugrue, Declan D.; Porter, Co Burn J; Hammill, Stephen C.
In: The American Journal of Cardiology, Vol. 55, No. 13, 01.06.1985, p. 1509-1512.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Surgical treatment of accessory atrioventricular pathways and symptomatic tachycardia in children and young adults
AU - Holmes, David
AU - Danielson, Gordon K.
AU - Gersh, Bernard J.
AU - Osborn, Michael J.
AU - Wood, Douglas L.
AU - Mclaran, Christopher
AU - Sugrue, Declan D.
AU - Porter, Co Burn J
AU - Hammill, Stephen C.
PY - 1985/6/1
Y1 - 1985/6/1
N2 - Twenty-seven patients aged 21 years or younger (mean 15) with symptomatic tachycardia underwent operation for ablation of an accessory atrioventricular pathway. Six patients had associated Ebstein's malformation of the tricuspid valve. Supraventricular tachycardia had been present for a mean of 5 years. At electrophysiologic study, 4 patients were found to have 2 accessory pathways. Left ventricular free wall pathways were found In 14 patients, right ventricular free wall pathways in 10 and septal pathways in 6. Successful initial ablation of all the pathways was achieved in 26 of the 27 patients. No patient died perioperatively and none had persistent complete heart block. During a mean follow-up of 11 months, no patient had recurrence of an arrhythmia related to the accessory pathway. Thus, the surgical treatment of children and young adults with accessory atrioventricular pathways and symptomatic supraventricular tachycardia is safe and effective. For these patients, unless the tachycardia can be easily controlled with a minimal number of drugs and adverse effects, surgical ablation should be considered early in the clinical course.
AB - Twenty-seven patients aged 21 years or younger (mean 15) with symptomatic tachycardia underwent operation for ablation of an accessory atrioventricular pathway. Six patients had associated Ebstein's malformation of the tricuspid valve. Supraventricular tachycardia had been present for a mean of 5 years. At electrophysiologic study, 4 patients were found to have 2 accessory pathways. Left ventricular free wall pathways were found In 14 patients, right ventricular free wall pathways in 10 and septal pathways in 6. Successful initial ablation of all the pathways was achieved in 26 of the 27 patients. No patient died perioperatively and none had persistent complete heart block. During a mean follow-up of 11 months, no patient had recurrence of an arrhythmia related to the accessory pathway. Thus, the surgical treatment of children and young adults with accessory atrioventricular pathways and symptomatic supraventricular tachycardia is safe and effective. For these patients, unless the tachycardia can be easily controlled with a minimal number of drugs and adverse effects, surgical ablation should be considered early in the clinical course.
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U2 - 10.1016/0002-9149(85)90963-4
DO - 10.1016/0002-9149(85)90963-4
M3 - Article
C2 - 4003293
AN - SCOPUS:0021856508
VL - 55
SP - 1509
EP - 1512
JO - American Journal of Cardiology
JF - American Journal of Cardiology
SN - 0002-9149
IS - 13
ER -