Surgical Division of Right and Left Free Wall Accessory Atrioventricular Electrical Connections in a Child with Incessant Supraventricular Tachycardia |
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Authors: | D. Richards ,A. Denniss &dagger ,P. Russell &Dagger ,D. Johnson ,N. Buchanan &dagger &dagger ,C. Whight,A. Chong,J. Utherf |
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Affiliation: | Units of Cardiology, Paediatrics and Cardiothoracic Surgery at Westmead Hospital and Royal Alexandra Hospital for Children, New South Wales |
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Abstract: | Abstract: Surgical division of right and left free wall accessory atrioventricular electrical connections in a child with incessant supraventricular tachycardia. D. Richards, A. Denniss, P. Russell, D. Johnson, N. Buchanan, C. Whight, A. Chong and J. Uther, Aust. N.Z. J. Med., 1982, 12 , pp. 52–55. A child with Wolff-Parkinson-White syndrome developed incessant supraventricular tachycardia refractory to medical therapy and countershocks. Supraventricular tachycardias incorporating both right and left free wall accessory atrioventricular electrical connections were demonstrated. The more frequent, broad complex tachycardia utilised both the accessory connections and was independent of the atrioventricular node. The less frequent, narrow complex tachycardia utilised the atrioventricular node for anterograde conduction and the left sided accessory connection for retrograde conduction. Surgical division of the accessory connections restored normal sinus rhythm and eliminated supraventricular tachycardia. |
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Keywords: | Wolff-Parkinson-White Syndrome–Division of accessory atrioventricular electrical connections |
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