Intraoperative Identification of the Conduction System in Repair of Endocardial Cushion Defect |
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| Authors: | Grace S. Wolff Ralph D. Alley |
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| Affiliation: | Departments of Pediatrics and Surgery, Albany Medical College and Albany Medical Center Hospital, Albany, NY.;We thank Andrea Schneider and Laurie Roos for their secretarial assistance and Anne Marie Vancura for her assistance with the illustrations |
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| Abstract: | Electrophysiological identification in-traoperatively of the His-Purkinje system eliminates the complication of complete heart block consequent upon repair of endocardial cushion defect (ECD). Ten patients, 6 with complete ECD and 4 with incomplete ECD, underwent repair of the defect. None of the patients developed heart block. Slight variations were noted in the location of the His bundle in 9 patients, and a major deviation was found in 1 patient with incomplete ECD. The data support the use of intraoperative recordings as a necessary accompaniment to the operative repair of ECD. |
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| Keywords: | Address reprint requests to Dr. Wolff Division of Pediatric Cardiology Albany Medical Center Hospital Albany NY 12208. |
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