Ablation techniques for accessory pathways in the Wolff-Parkinson-White syndrome

Autor: J M Fedor, S. H. Zimmern, J G Selle, W. C. Sealy, J. J. Gallagher, Robert H. Svenson
Rok vydání: 1987
Předmět:
Zdroj: Invasive Cardiovascular Therapy ISBN: 9789401084086
DOI: 10.1007/978-94-009-4293-6_41
Popis: The first successful interruption of an accessory pathway in a patient suffering from the Wolff-Parkinson-White (WPW) syndrome [1–6] was performed on a fisherman from the coast of North Carolina on May 28, 1968 [7–8]. Sustained reciprocating tachycardia refractory to medical therapy had resulted in the development of congestive heart failure and the patient was offered the opportunity to undergo surgical correction. Epicardial mapping demonstrated the earliest point of ventricular activation at the right lateral base of the heart [7]. Using a external dissection of the atrioventricular groove in this region, Dr. Will C. Sealy successfully divided the pathway. The patient’s electrocardiogram returned to normal and his recurrent supraventricular tachycardia ceased. Over the ensuing years a variety of modifications have been introduced into the procedure originally described [7–38]. In this communication, these modifications will be reviewed with emphasis on current results.
Databáze: OpenAIRE