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KMID : 0364019900230010205
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Korean Journal of Thoracic and Cardiovascular Surgery
1990 Volume.23 No. 1 p.205 ~ p.211
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Surgical Treatment of Wolff-Parkinson-White Syndrome Combined with AV Nodal Reentrant Tachycardia in a Patient with Ebstein´s Anomaly
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Abstract
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A 17 year old female patient with Ebstein´s anomaly received surgical treatment for WPW syndrome and AV nodal reentrant supraventricular tachycardia(SVT). Electrophysiologic study revealed th it an anomalous pathway was located in the right posterolateral portion and antegrade di al AV nodal pathway responsible for AV nodal reentrant tachcardia. The patient was underwent surgery on Feburary 18, 1987. Intraoperative mapping was used to define the location of accessory pathway. The accessory pathway,was cry.oablated through the epicardium. Simultaneously discrete cryoablation around the perinodal area was performed to pre-vent AV nodal reentrant SVT.
The atrialized right ventricle of Ebstein´s anomaly was plicated with 11 pledget mattress sutures under the cardiopulmonary bypass. Two and half years after surgery, the patient has no evidence of WPW syndrome or supraventricular tachycardia.
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KEYWORD
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